Point of Care Ultrasound for the Detection of Esophageal Food Bolus
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Presence or absence of esophageal foreign body/food impaction
研究概览
简要总结
This will be a prospective, observational, case-control study of adult patients presenting to the WellSpan York Hospital Emergency Department (YHED) with signs and symptoms of esophageal food or foreign body impaction. Point of care ultrasound (POCUS) will then be performed by a trained emergency physician to collect ultrasound data, including the presence or absence of direct visualization food bolus/foreign body, as well as secondary markers of dilatation, such as maximal esophageal area. Investigators will also enroll an age/sex-matched control group of asymptomatic individuals to establish baseline esophageal measurements.
Patients will otherwise receive medical treatment per standard of care. Subsequent interventions will also be documented, including glucagon, carbonated beverages, and esophagogastroduodenoscopy (EGD). If patients remain in the ED and improve without need for EGD they will undergo repeat ultrasound. Chart review at 1 month will be performed to establish results of EGD including improvement, recurrence, or presence of pathologic abnormalities. The investigators aim to establish normal and abnormal parameters to aid in the diagnosis of esophageal food impactions to predict need for definitive EGD management.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 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
- 是
入选标准
- •Eligibility (CASES)
- •Inclusion criteria:
- •Age ≥18 years
- •Signs and symptoms of esophageal food bolus or foreign body
排除标准
- •Prior esophageal surgery
- •History of head/neck cancer
- •Incarcerated individuals
- •Individuals unable to provide consent
- •Clinical instability or airway compromise
- •Eligibility (CONTROLS)
- •Inclusion criteria:
- •Age ≥18 years
- •NO signs or symptoms of esophageal food bolus or foreign body
- •Age/Sex match to previously enrolled case subject
- •Exclusion criteria:
- •Prior esophageal surgery/dilation/pathology
- •History of head/neck cancer
- •Incarcerated individuals
- •Individuals unable to provide consent
- •Clinical instability or airway compromise
- •Presentation involving any of the following symptoms:
- •Nausea/vomiting
- •Abdominal pain
- •Chest pain
- •Shortness of breath
- •Dysphagia/odynophagia
结局指标
主要结局
Presence or absence of esophageal foreign body/food impaction
时间窗: Within 48 hours of index visit (Emergency department arrival to emergency department or hospital discharge)
Presence of absence of esophageal foreign body/food impaction on esophagogastroduodenoscopy
次要结局
- Number/proportion of subjects experiencing resolution of symptoms with standard medical therapies(Within 48 hours of index visit (Emergency department arrival to emergency department or hospital discharge))
- Number/proportion of subjects requiring endoscopic intervention(Within 48 hours of index visit (Emergency department arrival to emergency department or hospital discharge))
研究者
Brent Becker
Research Director - Department of Emergency Medicine
WellSpan Health