The Impact of Point-of-care Ultrasound on Treatment Planning and Prognosis in the Intensive Care Unit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- POCUS effectiveness
研究概览
简要总结
This study aims to understand how using bedside ultrasound in the intensive care unit (ICU) can improve diagnosis and treatment for critically ill patients. When patients are admitted to the ICU, doctors usually rely on various tests and assessments, such as the APACHE-II score, to estimate the severity of their condition and predict their chances of survival. In addition to these tests, we will use bedside ultrasound to examine the lungs, heart, vena cava (a large vein), and optic nerve, which can give us important information about the patient's condition.
By using ultrasound, we can look for things like fluid in the lungs, heart function, or increased pressure in the brain. Based on what we find with the ultrasound, we may adjust treatments, such as changing the amount of fluids given or starting new medications.
We will also compare each patient's condition on the first day and the fifth day, using both ultrasound findings and their APACHE-II score, to see if the ultrasound results have influenced their care and outcomes. The study will include 40 patients, and we will track their progress, including how long they stay on mechanical ventilation, how long they are in the hospital, and their survival after 28 days.
This research will help us learn more about how ultrasound can help doctors make better decisions in the ICU, leading to improved care for critically ill patients.
详细描述
Detailed Description for Clinical Trials
This prospective observational study focuses on the routine use of point-of-care ultrasound (POCUS) in the intensive care unit (ICU) and its impact on diagnosis, treatment decisions, and patient outcomes. Bedside ultrasound is increasingly recommended in ICU settings because it provides non-invasive, repeatable, and immediate diagnostic information that can guide the management of critically ill patients.
Upon admission, all ICU patients will undergo an initial assessment, including routine tests such as the APACHE-II score, which helps to estimate the severity of illness and predict the likelihood of survival. The goal of this study is to evaluate how POCUS, in addition to standard care, influences patient outcomes and whether it provides any additional diagnostic information that changes the treatment plan.
Key components of the study include:
- **Initial Evaluation:**
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
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
- •Patients over the age of 18 who are admitted to intensive care
- •Patients who have been in intensive care for more than 5 days
排除标准
- •Being pregnant
- •Patients with head trauma
- •Acute renal failure
结局指标
主要结局
POCUS effectiveness
时间窗: First 5 days
The primary goal of our study is to evaluate the effectiveness of point-of-care ultrasound (POCUS) in the diagnosis and treatment of patients admitted to the intensive care unit (ICU). We aim to investigate how the use of ultrasound alters diagnostic clarity and treatment interventions compared to initial diagnoses made without ultrasound. Any new or additional diagnoses made following ultrasound will be considered supplemental findings, which may lead to changes in the treatment plan.
次要结局
未报告次要终点
研究者
Döndü Genc Moralar
Assoc. Prof.
Gaziosmanpasa Research and Education Hospital