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Trends in utilisation of ultrasound by older Australians (2010-2019).


ABSTRACT:

Background

Older people have increasingly complex healthcare needs, often requiring appropriate access to diagnostic imaging, an essential component of their health and disease management planning. Ultrasound is a safe imaging tool used to diagnose several conditions commonly experienced by older people such as deep vein thrombosis.

Purpose

To evaluate the utilisation of major ultrasound services by Australians ≥ 65 years old between 2009- and 2019.

Methods

This population-based and yearly cross-sectional study of ultrasound utilisation per 1,000 Australians ≥ 65 years old was conducted using publicly available data sources. Overall, examination site and age- and sex-specific incidence rate (IR) of ultrasound per 1,000 people, adjusted incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated using negative binomial regression models.

Results

Over the study period, the crude utilisation of ultrasound increased by 83% in older Australians. Most ultrasound examinations were conducted on extremities (39%) and the chest (21%), with 25% of all ultrasounds investigating the vascular system. More men than women use ultrasounds of the chest (184/1,000 vs 268/1,000 people), particularly echocardiograms (177/1,000 vs 261/1,000 people), and abdomen (88/1,000 vs 92/1,000 people), especially in those ≥ 85 years old. Hip and pelvic ultrasound were used more by women than men (212/1,000 vs 182/1,000 people). There were increases in vascular abdominal (IRR:1.07, 95%CI:1.06-1.08) and extremeties (IRR:1.06, 95%CI:1.05-1.07) ultrasounds over the study period, particularly in ≥ 75 years old men.

Conclusions

Ultrasound is a common and increasingly used diagnostic tool for conditions commonly experienced by older Australians.

SUBMITTER: Gaget V 

PROVIDER: S-EPMC9883967 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Trends in utilisation of ultrasound by older Australians (2010-2019).

Gaget Virginie V   Inacio Maria C MC   Tivey David R DR   Jorissen Robert N RN   Babidge Wendy J WJ   Visvanathan Renuka R   Maddern Guy J GJ  

BMC geriatrics 20230127 1


<h4>Background</h4>Older people have increasingly complex healthcare needs, often requiring appropriate access to diagnostic imaging, an essential component of their health and disease management planning. Ultrasound is a safe imaging tool used to diagnose several conditions commonly experienced by older people such as deep vein thrombosis.<h4>Purpose</h4>To evaluate the utilisation of major ultrasound services by Australians ≥ 65 years old between 2009- and 2019.<h4>Methods</h4>This population-  ...[more]

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