Reliability of Point-of-Care Ultrasound Examination in Primary Care Performed by a General Practitioner
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ultrasound
- Sponsor
- Emergency Medical Service of the Central Bohemian Region, Czech Republic
- Enrollment
- 600
- Locations
- 1
- Primary Endpoint
- Reliability of Point-of-Care ultrasound investigation of the lungs, gall bladder or proximal deep veins of lower extremities performed by general practitioner compared with the expert diagnostic method
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to evaluate reliability of Point-of-Care ultrasound evaluation performed by general practitioners.
Detailed Description
The purpose of this study is to evaluate reliability of Point-of-Care ultrasound (POCUS) evaluation performed by general practitioners. General practitioners who underwent predefined training in POCUS will perform ultrasound examination in outpatients meeting inclusion criteria. While this is observational study, result will not have an impact on the management of the patients. Regardless of the POCUS examination, patients undergo a routine diagnostic process which is appropriate for the initial symptom. Imaging examinations will always be a part of this. This will serve as an expert control to evaluate the reliability of POCUS Each POCUS examination will also be recorded as a video loop, subsequently assessed by an expert in the POCUS and also used as an expert control. The data will be analyzed by standard reliability testing.
Investigators
Roman Skulec
Principal Investigator
Emergency Medical Service of the Central Bohemian Region, Czech Republic
Eligibility Criteria
Inclusion Criteria
- •Patient with abdominal pain in the right upper quadrant (will be indicated for the abdominal ultrasound) or patient with dyspnoea (will be indicated for lung ultrasound) or patient with suspected deep vein thrombosis (will be indicated for compression ultrasound testing)
- •Signing of informed consent to participate in the study
Exclusion Criteria
- •Age \<18 years
- •Refusal of ultrasound examination by patient
- •Any circumstance that prevents ultrasonographic examination (eg allergy to ultrasonographic gel, skin lesions that do not allow safe examination, etc.)
Outcomes
Primary Outcomes
Reliability of Point-of-Care ultrasound investigation of the lungs, gall bladder or proximal deep veins of lower extremities performed by general practitioner compared with the expert diagnostic method
Time Frame: 7 months
General practitioners will perform the type of Point-of-Care ultrasound investigation which will relate to the type of symptoms. Then, the result of this investigation will be compared with the expert diagnostic method. This will be chest X ray scan or pulmonary CT for group 1 patients, expert abdominal ultrasound for group 2 patients and expert complete compression ultrasound for group 3 patients. These examinations are not study interventions, while they are a routine procedures, which would be indicated irrespective of the study.