Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Point-of-care Ultrasound
- Sponsor
- National Taiwan University Hospital
- Enrollment
- 144
- Locations
- 1
- Primary Endpoint
- Proportion of accurate diagnosis
- Status
- Completed
- Last Updated
- 5 months ago
Overview
Brief Summary
Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.
Detailed Description
Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. This method significantly aids in diagnosis and treatment by enhancing accuracy, guiding treatment adjustments, aiding procedural interventions, and reducing the time to appropriate treatment, ultimately leading to better patient outcomes. POCUS also decreases the reliance on other imaging modalities, providing real-time information and minimizing additional imaging needs. POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. The potential value of POCUS in these wards is notable, as it can facilitate early complication detection and timely treatment adjustments, reducing complication incidences. Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. NPs, as frontline healthcare professionals, can use POCUS to enhance diagnostic and therapeutic capabilities. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.
Investigators
National Taiwan University Clinical Trial Center
Clinical Associate Professor
National Taiwan University Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Proportion of accurate diagnosis
Time Frame: At 48 hours after admission to medical wards
The proportion of accurate physician diagnosis achieved at 48 hours after admission to medical wards
Secondary Outcomes
- Hospital mortality(Until death, hospital discharge or up to 28 days)
- Rate of ICU transfer(Within 7 days after admission to medical wards)
- Categories and numbers of imaging studies(Within 7 days after admission to medical wards)
- Length of hospital stay(Until death, hospital discharge or up to 28 days)
- Categories and numbers of invasive procedures(Within 7 days after admission to medical wards)