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Completed

NCT Number: NCT04429698

The Effects of Point-of-care Ultrasonography

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).

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Key information

Conditions

Chest Pain Disease Attributes Emergencies Neurologic Manifestations Pain Pathologic Processes Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sakarya University Training and Research Hospital

Sakarya, 54050, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Point of care ultrasonography

Diagnostic Test

Point-of-care Ultrasonography is an imaging method performed with ultrasound aid to facilitate rapid diagnosis and interventions during emergency intervention.

Primary outcomes

  1. Duration of hospitalization or discharge

    Time frame: 6 months

  2. Average costs during the diagnosis of patients.

    Time frame: 6 months

Secondary outcomes

  1. The rate of change in the preliminary diagnosis of physician

    Time frame: 6 months

  2. The Hospitalization rate

    Time frame: 6 months

  3. The discharge rate

    Time frame: 6 months

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Registry information

Official study title

The Effects of Point-of-care Ultrasonography on the Dıagnosıs Process of Patıents Who Admıtted to Emergency Department: Randomised-Controlled Trial

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jun 12, 2020
Registry last updated
Jun 12, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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