The Effects of Point-of-care Ultrasonography on the Dıagnosıs Process of Patıents Who Admıtted to Emergency Department: Randomised-Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chest Pain
- Sponsor
- Sakarya University
- Enrollment
- 208
- Locations
- 1
- Primary Endpoint
- Duration of hospitalization or discharge
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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).
Investigators
Necip Gökhan Güner
Principial Investigator
Sakarya University
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Duration of hospitalization or discharge
Time Frame: 6 months
Average costs during the diagnosis of patients.
Time Frame: 6 months
Secondary Outcomes
- The rate of change in the preliminary diagnosis of physician(6 months)
- The discharge rate(6 months)
- The Hospitalization rate(6 months)