Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department

Active, not recruiting

• Conditions: Shock
• Interventions: Device: Use of ultrasound

• Registration Number: NCT06573541
• Lead Sponsor: Central Hospital, Nancy, France

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-01
• Primary Completion: 2023-01-01
• Status Verified: 2024-08
• Study First Submitted: 2024-08-19
• Study First Submitted QC: 2024-08-23
• Last Update Submitted: 2024-08-23
• Study First Posted: 2024-08-27
• Last Update Posted: 2024-08-27
• Study Completion: 2025-10-31

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• 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"

Exclusion Criteria

• 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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
group receiving ultrasound	Use of ultrasound	-

Primary Outcome Measures

Name	Time	Method
rate of ultrasound use	Day 0	use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state

Secondary Outcome Measures

Name	Time	Method
rate of patients with care changes	Day 0	changes in initial diagnostic and therapeutic management when an ultrasound technique is used compared to patients who did not benefit from it (duration of passage to ED and treatment, time until diagnosis, vascular filling rate, catecholamine utilization rate)

Trial Locations

Locations (1)

CHRU; 🇫🇷 Nancy, France