Point-of-Care Ultrasound in Primary Care (POCUS iGP 1)

Emergency Medical Service of the Central Bohemian Region, Czech Republic

Status: Unknown

Conditions: Ultrasound

Treatments: Diagnostic Test: Ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT04905719

POCUSiGP01

Details and patient eligibility

About

The purpose of this study is to evaluate reliability of Point-of-Care ultrasound evaluation performed by general practitioners.

Full description

The purpose of this study is to evaluate reliability of Point-of-Care ultrasound (POCUS) evaluation performed by general practitioners.

General practitioners who underwent predefined training in POCUS will perform ultrasound examination in outpatients meeting inclusion criteria. While this is observational study, result will not have an impact on the management of the patients.

Regardless of the POCUS examination, patients undergo a routine diagnostic process which is appropriate for the initial symptom. Imaging examinations will always be a part of this. This will serve as an expert control to evaluate the reliability of POCUS Each POCUS examination will also be recorded as a video loop, subsequently assessed by an expert in the POCUS and also used as an expert control.

The data will be analyzed by standard reliability testing.

Enrollment: 600 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with abdominal pain in the right upper quadrant (will be indicated for the abdominal ultrasound) or patient with dyspnoea (will be indicated for lung ultrasound) or patient with suspected deep vein thrombosis (will be indicated for compression ultrasound testing)
• Signing of informed consent to participate in the study

Exclusion criteria

• Age <18 years
• Refusal of ultrasound examination by patient
• Any circumstance that prevents ultrasonographic examination (eg allergy to ultrasonographic gel, skin lesions that do not allow safe examination, etc.)

Trial design

600 participants in 3 patient groups

Patients with dyspnea

Description:

Patients who visit a general practitioner for dyspnea will undergo a Point-of-Care ultrasound examination of the lungs to identify the presence or the absence of A-profile, B-profile and pleural effusion.

Treatment:

Diagnostic Test: Ultrasound

Patients with abdominal pain

Description:

Patients who visit a general practitioner for abdominal pain in the right upper quadrant will undergo abdominal Point-of-Care ultrasound examination to identify cholecystolithiasis.

Treatment:

Diagnostic Test: Ultrasound

Patients with suspected deep vein thrombosis

Description:

Patients who visit a general practitioner for pain and / or swelling of the lower extremity will undergo compression ultrasound testing to identify proximal deep vein thrombosis.

Treatment:

Diagnostic Test: Ultrasound