The Effects of Point-of-care Ultrasonography
- Conditions
- Chest Pain
- Interventions
- Diagnostic Test: Point of care ultrasonography
- Registration Number
- NCT04429698
- Lead Sponsor
- Sakarya University
- Brief Summary
Background: When used with standard diagnostic testing, point-of-care ultrasonography (POCUS) might improve the proportion of patients admitted with chest pain (CP) who are correctly diagnosed, decrease length of stay (LOS) in emergency department (ED) and costs. We therefore assessed POCUS for the heart, lungs, aortic, hepatobiliary and deep vein in addition to the usual initial diagnostic testing in this patient population.
Methods: In a prospective, randomised-controlled, parallel-group trial in the ED at Sakarya University Training and Research Hospital, Turkey, patients (≥18 years) with CP were randomly assigned in a 1:1 ratio to a standard diagnostic strategy (control group) or to standard diagnostic strategy supplemented with POCUS (POCUS group).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 208
- Patients admitted to the emergency were included in this study if they had chest pain, or chest pain with back pain, neck and jaw pain, abdominal pain, arm pain and shortness of breath
- permanent mental disability
- age younger than 18 years
- having chest trauma in the last 24 hours
- to be pregnant
- need for urgent angiography with ST elevation myocardial infarction
- to be referred to the ED as a diagnosis of external center
- failure to obtain complete patient information
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description POCUS group Point of care ultrasonography Patients in this group underwent POCUS after primary clinical evaluation with the knowledge of their primary physician. This procedure was performed in the first hour after the patients' primary clinical evaluations to evaluate the predetermined parameters in the study form for the heart, lungs, hepatobiliary, aortic and deep veins.
- Primary Outcome Measures
Name Time Method Duration of hospitalization or discharge 6 months Average costs during the diagnosis of patients. 6 months
- Secondary Outcome Measures
Name Time Method The rate of change in the preliminary diagnosis of physician 6 months The discharge rate 6 months The Hospitalization rate 6 months
Trial Locations
- Locations (1)
Sakarya University Training and Research Hospital
🇹🇷Sakarya, Turkey