The Effects of Point-of-care Ultrasonography on the Dıagnosıs Process of Patıents Who Admıtted to Emergency Department: Randomised-Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 208
- 试验地点
- 2
- 主要终点
- Duration of hospitalization or discharge
研究概览
简要总结
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).
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
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Duration of hospitalization or discharge
时间窗: 6 months
Average costs during the diagnosis of patients.
时间窗: 6 months
次要结局
- The rate of change in the preliminary diagnosis of physician(6 months)
- The discharge rate(6 months)
- The Hospitalization rate(6 months)
研究者
Necip Gökhan Güner
Principial Investigator
Sakarya University