Influence of Routinely Adding Ultrasound Screening in Medical Department

Not Applicable

Completed

• Conditions: Dyspnea; Kidney Disease; Heart Disease; Aortic Disease; Liver Disease
• Interventions: Procedure: Pocket-size ultrasonography; Other: Usual care

• Registration Number: NCT01331187
• Lead Sponsor: Helse Nord-Trøndelag HF

Brief Summary

Ultrasound (US) is widely used as a diagnostic tool in a hospital setting. In a medical department, diagnosis like heart failure or most kinds of heart diseases, hypervolemia, hypovolemia, pleural effusion, pericardial effusion, ascites, diseases in the gall bladder/bile tract, urine tract and venous thrombosis are common. US is the key diagnostic tool in these diagnosis, and on early diagnosis is crucial with respect to the patients well-being and inpatients workflow.

1. The aim is to study the clinical use of pocket-size US as a screening diagnostic tool in an medical department with respect to inpatients workflow and diagnostics.

Method: Patients admitted (in certain preset periods) to Department of medicine will be randomized to routinely adding an ultrasound examination with pocket-size device by residents on call. Time to definitive diagnosis, time to definitive treatment and time to discard will be recorded. US findings will be validated against standard echocardiography, or standard US/CT/MRI performed at the Radiological department.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-03-30
• Study Start: 2011-04-01
• Study First Submitted QC: 2011-04-06
• Study First Posted: 2011-04-07
• Primary Completion: 2011-06
• Study Completion: 2011-06
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-05
• Last Update Posted: 2021-11-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

• Patients admitted to Dep. of Medicine at Levanger Hospital

Exclusion Criteria

• Not able to give informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Routinely ulasonography	Pocket-size ultrasonography	Patients will routinely be examined with ultrasound at admittance in addition to usual care diagnostics
Usual care	Usual care	Usual care diagnostics. No routinely ultrasound examination

Primary Outcome Measures

Name	Time	Method
Time to definitive diagnosis	3 months	Time from admittance to definitive diagnosis

Secondary Outcome Measures

Name	Time	Method
Time to definitive treatment	3 months	Time from admittance to definitive treatment
Time to discharge	3 months	Time from patients admittance to discharge from hospital
Test-retest reproducibility	3 months	Pocket-sized ultrasound recordings by residents will be validated against reference methods (echocardiography and radiologic examinations by sepcialists)to assess sensitivity, specificity, positive and negative predictive values of pocket-size ultrasound.
Diagnostic outcome of additional ultrasound examination according to educational level of the performer	3 months	Study the diagnostic outcome of ultrasound screening related to the educational level and skills of the user

Trial Locations

Locations (1)

Department of Medicine, Levanger Hospital, Nord-Trøndelag Health Trust; 🇳🇴 Levanger, Norway