Point-of-Care Ultrasound for Pediatric Thoracic Trauma: A Multi-Institutional Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,020
- 试验地点
- 1
- 主要终点
- Accuracy of POCUS as compared to chest X-ray in detecting injuries
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 0 Years 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Accuracy of POCUS as compared to chest X-ray in detecting injuries
时间窗: 7-10 days
次要结局
- 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)
研究者
HIU FUNG SAMUEL LAM
Attending physician
Sutter Health