Improving Lower Extremity DVT Outcomes in the Outpatient Setting: An Evaluation of 3-Point of Care Ultrasound for Timely Diagnosis and Treatment
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Number of Subjects Who Have Identical POCUS Result to Venous Duplex Result
研究概览
简要总结
This study will include approximately 50 patients who will be enrolled if there is suspicion of lower extremity deep vein thrombosis (DVT). Each patient will receive a point-of-care ultrasound performed by physicians in an outpatient clinic. All patients will receive a subsequent confirmatory gold standard venous duplex ultrasonography. The investigators will compare time to diagnosis and treatment initiation and evaluate short-term clinical outcomes, including pulmonary embolism, hospitalization, ICU care, and mortality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Penn State health patient
- •18 years and older
- •English speaking
- •Presentation at clinical office with symptoms of a DVT
排除标准
- •Pregnancy
- •Less than 18 years old
- •Non-English speaking
- •Chronic Deep Vein Thrombosis
研究组 & 干预措施
POCUS positive, High risk, STAT DVT
Patient who is high risk for DVT had a positive POCUS study in office was referred for STAT DVT study.
干预措施: STAT Venous Duplex (Diagnostic Test)
POCUS positive, Low risk, STAT DVT
Patient who is low risk for DVT had a positive POCUS study in office was referred for STAT DVT study.
干预措施: STAT Venous Duplex (Diagnostic Test)
POCUS negative, High risk, STAT DVT
Patient who is high risk for DVT had a negative POCUS study in office was referred for STAT DVT study.
干预措施: STAT Venous Duplex (Diagnostic Test)
POCUS negative, Low risk, Routine DVT
Patient who is low risk for DVT had a negative POCUS study in office was referred for routine DVT study.
干预措施: Routine Venous Duplex (Diagnostic Test)
结局指标
主要结局
Number of Subjects Who Have Identical POCUS Result to Venous Duplex Result
时间窗: 1 week
Number of subjects whose ultrasound results using POCUS and subsequent confirmatory gold standard venous duplex ultrasound are identical, whether positive or negative for DVT.
次要结局
- Rate of Pulmonary Embolism(3 months)
- Rate of Stroke(3 months)
- Rate of Myocardial Infarction(3 months)
- Number of Subjects who Died(3 months)
研究者
Stephanie A. Carey, MD
Assistant Professor of Family & Community Medicine
Milton S. Hershey Medical Center