Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department - Retrospective Descriptive Analysis
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- rate of ultrasound use
研究概览
简要总结
Context: shock is a serious pathology where diagnostic and therapeutic speed determines the prognosis, ultrasound can be a valuable aid for the emergency physician to differentiate the different types of shock and allow appropriate treatment.
Hypothesis: what are the uses of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Emergency Department of Nancy? Main outcome: Describe the use of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Nancy Emergency Department Secondary outcome: Study the contribution of the use of different ultrasound techniques in the initial diagnostic and therapeutic management of patients depending on the type of shock state
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years old
- •Shock (MAP < 65 mmHg + lactate ≥ 2 mmol/l)
- •Admission to the Nancy ED between 01/01/2023 and 12/31/2023
- •ICD-10 output coding: R57: shock, not elsewhere classified; R570: cardiogenic shock; R571: hypovolemic shock; R572: septic shock; R578: other shocks; R579: shock, unspecified; T794: traumatic shock; T782: anaphylactic shock, unspecified; or diagnosis of entry into intensive care including the word "shock"
排除标准
- •Age < 18 years old
- •Absence of shock
- •No passage through the Nancy ED
- •Patient whose initial treatment was carried out in another emergency department
- •State of shock occurring after going to the emergency department
结局指标
主要结局
rate of ultrasound use
时间窗: Day 0
use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state
次要结局
- rate of patients with care changes(Day 0)
研究者
HUOT-MARCHAND Matthieu
Principal Investigator
Central Hospital, Nancy, France