Comparison of the Effectiveness of Focused Point-of-Care Ultrasonography Triage and Classical Triage in Patients Applying to the Emergency Department with Abdominal Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 262
- 试验地点
- 1
- 主要终点
- Request for additional medical imaging
研究概览
简要总结
Introduction and Objective: This study aimed to reveal the effect of classical triage and Bedside Focused Ultrasonography (POCUS) in addition to classical triage on diagnosis, treatment, emergency department follow-up and its relationship with triage models in patients presenting to the emergency department with abdominal pain complaints.
METHOD: This randomized, controlled, prospective study was conducted with a total of 262 volunteer participants who were divided into two groups as 127 classical triage and 135 POCUS in addition to classical triage with non-traumatic abdominal pain. The decision of which participant would be included in which group was made at a 1:1 ratio using a computer-aided randomization table. The researcher did not intervene in the clinical processes in any way. In this study, the effect of POCUS application performed in addition to classical triage on clinical processes (imaging request, initial analgesia administration time, consultation request, emergency department stay and outcome) in the primary outcome and on triage systems in the secondary outcome were evaluated. IBM SPSS 21.0 software was used for statistical analysis of the data.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Present to the emergency room with abdominal pain
- •No history of trauma in the last 48 hours
- •Stable hemodynamics
排除标准
- •According to the 3-way triage, the color code is red
- •Being under the age of 18
- •Being pregnant
- •Having a history of trauma within the last 48 hours
- •Being morbidly obese
- •Having mental retardation
- •Having repeated emergency room visits
- •Being referred from the polyclinic to the emergency room with a diagnosis
- •Filling the study form incompletely
研究组 & 干预措施
POCUS Triage
Patients are directed to the area where they will be examined in accordance with the triage category determined by abdominal POCUS, which is performed in addition to classical triage.
干预措施: Point of care ultrasound (POCUS) (Other)
Classical Triage
Patients are directed to the area where they will be examined in accordance with the triage category determined by classical triage application.
结局指标
主要结局
Request for additional medical imaging
时间窗: 6 months
To evaluate the effect of adding the POCUS application to conventional triage on imaging requests.
Time to initial analgesia
时间窗: 6 months
To evaluate the effect of adding the POCUS application to conventional triage on clinical processes, including imaging requests, time to initial analgesia.
Emergency department length of stay
时间窗: 6 months
To evaluate the effect of adding POCUS to conventional triage on the length of stay of patients in the emergency department.
次要结局
未报告次要终点
研究者
Necip Gökhan Güner
Assistant Professor,MD
Sakarya University