The Use of a Point-of-care Thoracic Ultrasound Protocol for Hospital Medical Emergency Teams
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Concordance between MET diagnosis with and without the use of ultrasound with the chart review definitive diagnosis will be studied
研究概览
简要总结
Study to assess the possible effects of the use of a point-of-care thoracic ultrasound protocol for hospital medical emergency teams (MET)
详细描述
Rationale: Study to assess the possible effects of the use of a point-of-care thoracic ultrasound protocol for hospital medical emergency teams Objective: Concordance between MET diagnosis with and without the use of ultrasound with the chart review definitive diagnosis will be studied. Also other secondary endpoints will be evaluated.
Study design prospective, interventional study Study population: patients on the general wards in need treatment by the MET team Intervention (if applicable): When the MET team arrives first assessment will be done according to the abcde algorithm. If immediate interventions are needed (intubation, CPR etc) this will be done first (and noted). After the abcde assessment an initial diagnosis is noted. In the even weeks the thoracic ultrasound protocol will be done, in the uneven weeks not. After the use of ultrasound various variables are noted.
Main study parameters/endpoints:
Concordance between MET diagnosis with and without the use of ultrasound with the chart review definitive diagnosis will be studied.
Also other secondary endpoints will be evaluated.
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 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients on the general wards in need of treatment by the MET team.
排除标准
- •age (<18 years),
- •pregnancy:
结局指标
主要结局
Concordance between MET diagnosis with and without the use of ultrasound with the chart review definitive diagnosis will be studied
时间窗: after 2-3 weeks
final diagnosis will be determined by 2 independent experts on the basis of chart review and will be compared with the MET team diagnosis. There are 8 pre defined diagnosis categories. The difference in concordance between the MET diagnosis with and without the use of ultrasound with the definitive diagnosis will be tested with a chi-square or a Fisher Exact test in case of small expected frequencies.
次要结局
- Possible difference in the need for supervisor attendance(direct after inclusion)
- Number of times ultrasound was used in te "non-ultrasound weeks"(direct after inclusion)
- Possible difference in the time needed to reach a diagnosis(direct after inclusion)
- Possible differences in patients' disposition(direct after inclusion)
- Possible difference in diagnostic certainty(direct after inclusion)
- Possible differences in initial treatment(direct after inclusion)
- Whether the use of ultrasound was considered to be helpful(direct after inclusion)
- MET physicians characteristics(direct after inclusion)