Impact of Immediate Point-of-Care Ultrasound on Patients With Cardiopulmonary Symptoms in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 170
- 试验地点
- 2
- 主要终点
- Time to appropriate intervention
研究概览
简要总结
The purpose of the proposed research is to examine whether incorporating point-of-care ultrasound (POCUS) early in diagnostic work-up of cardiopulmonary complaints will affect diagnosis, time to condition-specific intervention, and ultimately patient outcomes compared to usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
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
- •Chief complaint of chest pain, dyspnea (either sudden onset or increased severity of chronic dyspnea), syncope, or hypotension (systolic blood pressure <100 or shock index [heart rate divided by systolic blood pressure] >1)
排除标准
- •<18 years old
- •Prisoner or ward of the state
- •High acuity requiring treatment in resuscitation room
- •Obvious cause of symptoms (e.g. acute GI bleed causing hypotension)
- •Any form of "do not resuscitate" (DNR) order
- •Roomed in hall of emergency department (location not amenable to ultrasound protocol)
结局指标
主要结局
Time to appropriate intervention
时间窗: Within 30 days of presentation
Based on final diagnosis as determined by final review of the patient's overall visit in the medical record, it will be determined what the appropriate intervention(s) that the patient should have received. Subsequently, the amount of time that elapsed (minutes) between time the patient was roomed in the emergency department (ED) and time to when they received the intervention will be collected. All these time points are readily available in the electronic medical record in the patient care timeline. This outcome will help determine whether early POCUS affects how quickly patients receive appropriate intervention.
次要结局
- Diagnostic accuracy(Within 30 days of presentation)
- Total length of stay(Within 30 days of presentation)
- Duration of POCUS(Within 2 days of presentation)
- Diagnostic certainty(Within 2 days of presentation)
- Time to disposition(Within 2 days of presentation)
- 30-day in-hospital mortality(Within 30 days of presentation)