Point-of-Care Ultrasound for Pediatric Thoracic Trauma: A Multi-Institutional Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Trauma Chest
- Sponsor
- Sutter Health
- Enrollment
- 1020
- Locations
- 1
- Primary Endpoint
- Accuracy of POCUS as compared to chest X-ray in detecting injuries
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The objective of the proposed study is to investigate the diagnostic accuracy of ED POCUS in pediatric traumatic thoracic injuries including traumatic pneumothorax, hemothorax, lung contusion, rib fractures, and pulmonary edema (from submersion injury). This will be a prospective, multicenter, observational study of children 0-21 years of age presenting to the participating pediatric emergency departments for suspected traumatic thoracic injury. Results of POCUS will be compared to that of chest X-ray, final clinical diagnosis, computed tomography (CT) or magnetic resonance imaging (MRI). Study hypotheses are that POCUS is highly accurate (90-95%) when compared to chest X-ray, and moderately accurate (~80%) when compared to CT or MRI in diagnosing these conditions.
Investigators
HIU FUNG SAMUEL LAM
Attending physician
Sutter Health
Eligibility Criteria
Inclusion Criteria
- •Eligible subjects will be children 0 to 21 years of age presenting to the participating PEDs meeting trauma activation criteria and with suspected thoracic injury.
Exclusion Criteria
- •Congenital or acquired cardiopulmonary or osteogenic conditions rendering POCUS ineffective, foreign body/ barrier to lung ultrasound of which removal is contraindicated, subjects under law-enforcement custody, and subjects deemed unsuitable by treating clinicians.
Outcomes
Primary Outcomes
Accuracy of POCUS as compared to chest X-ray in detecting injuries
Time Frame: 7-10 days
Secondary Outcomes
- Compare the accuracy of POCUS to chest X-ray or final clinical diagnosis (if no other imaging is performed).(7-10 days)
- Compare the accuracy of POCUS to cross sectional imaging (CT or MRI).(7-10 days)