The Effects of Point-of-care Ultrasonography

Sakarya University

Status: Completed

Conditions: Chest Pain

Treatments: Diagnostic Test: Point of care ultrasonography

Study type: Interventional

Funder types: Other

Identifiers

NCT04429698

05 of 12.09.2018

Details and patient eligibility

About

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).

Enrollment: 208 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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208 participants in 2 patient groups

POCUS group

Other group

Description:

Patients in this group underwent POCUS after primary clinical evaluation with the knowledge of their primary physician. This procedure was performed in the first hour after the patients' primary clinical evaluations to evaluate the predetermined parameters in the study form for the heart, lungs, hepatobiliary, aortic and deep veins.

Treatment:

Diagnostic Test: Point of care ultrasonography

Control group

No Intervention group

Description:

All processes and results were followed without any intervention in the processes related to the patients in this group and the results were recorded in the study form