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NCT Number: NCT06573541

Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department

Context: shock is a serious pathology where diagnostic and therapeutic speed determines the prognosis, ultrasound can be a valuable aid for the emergency physician to differentiate the different types of shock and allow appropriate treatment.

Hypothesis: what are the uses of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Emergency Department of Nancy? Main outcome: Describe the use of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Nancy Emergency Department Secondary outcome: Study the contribution of the use of different ultrasound techniques in the initial diagnostic and therapeutic management of patients depending on the type of shock state

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Shock Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHRU

Nancy, France

Who can participate

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

Inclusion criteria

  • Age ≥ 18 years old
  • Shock (MAP < 65 mmHg + lactate ≥ 2 mmol/l)
  • Admission to the Nancy ED between 01/01/2023 and 12/31/2023
  • ICD-10 output coding: R57: shock, not elsewhere classified; R570: cardiogenic shock; R571: hypovolemic shock; R572: septic shock; R578: other shocks; R579: shock, unspecified; T794: traumatic shock; T782: anaphylactic shock, unspecified; or diagnosis of entry into intensive care including the word "shock"

Exclusion criteria

  • Age < 18 years old
  • Absence of shock
  • No passage through the Nancy ED
  • Patient whose initial treatment was carried out in another emergency department
  • State of shock occurring after going to the emergency department

Treatment and study plan

Use of Ultrasound

Device

Use of ultrasound in the initial management of patients in shock

Primary outcomes

  1. rate of ultrasound use

    Time frame: Day 0

    use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state

Secondary outcomes

  1. rate of patients with care changes

    Time frame: Day 0

    changes in initial diagnostic and therapeutic management when an ultrasound technique is used compared to patients who did not benefit from it (duration of passage to ED and treatment, time until diagnosis, vascular filling rate, catecholamine utilization rate)

Sponsors and collaborators

Lead sponsor

Central Hospital, Nancy, France

Other

Registry information

Official study title

Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department - Retrospective Descriptive Analysis

Important dates

Study start
2023
Primary completion
2023
Study completion
2025
First posted
Aug 27, 2024
Registry last updated
Aug 27, 2024

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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