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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04351802
Other study ID # 282661
Secondary ID
Status Completed
Phase
First received
Last updated
Start date May 11, 2020
Est. completion date February 15, 2021

Study information

Verified date October 2021
Source University Hospital Plymouth NHS Trust
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This observational study is designed to assess whether focused lung ultrasound examination can improve the diagnosis of COVID-19 lung disease and/or make an alternative diagnosis at a patient's initial hospital presentation. For patients with confirmed COVID-19 the study will also assess whether surveillance lung ultrasound examination can predict clinical outcome over the course of their hospital admission.


Description:

Study participants will be screened from and recruited on their entry into the suspected COVID-19 admission pathway at Derriford Hospital, Plymouth, UK. In addition to usual clinical care (including physical exam and observations, blood tests, nasopharyngeal swab for viral PCR testing, and chest x-ray as standard), participants will undergo focused lung ultrasound examination. Participants who are negative for COVID-19 will be followed up to confirm their final discharge diagnoses, and clinical outcome at either 3 months post-enrolment or discharge from hospital. Participants who are positive for COVID-19 will have regular focused lung ultrasound examination during their hospital admission in addition to usual clinical care until their treatment for COVID-19 is complete. Their discharge diagnoses and clinical outcome at either 3 months post-enrolment or discharge from hospital (whichever is later).


Recruitment information / eligibility

Status Completed
Enrollment 45
Est. completion date February 15, 2021
Est. primary completion date February 15, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age greater than or equal to 18 years - Suspected or confirmed diagnosis of COVID-19 - Able to provide informed consent to study participation Exclusion Criteria: - Age less than 18 years - Inability to provide informed consent at the time of study enrolment

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
Lung ultrasound
Focused lung ultrasound examination

Locations

Country Name City State
United Kingdom Derriford Hospital Plymouth Devon

Sponsors (1)

Lead Sponsor Collaborator
University Hospital Plymouth NHS Trust

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Diagnosis of COVID-19 on lung ultrasound Primary and blinded scorer diagnosis of COVID-19 on lung ultrasound On day of admission to hospital
Primary Difference in diagnosis of COVID-19 on lung ultrasound vs. chest x-ray Primary and blinded scorer diagnosis of COVID-19 on lung ultrasound vs. radiologist-reported chest x-ray findings On day of admission to hospital
Secondary Diagnosis of alternative condition to COVID-19 on lung ultrasound vs. chest x-ray Primary and blinded scorer diagnosis of alternative condition on lung ultrasound On day of admission to hospital
Secondary Ability of surveillance lung ultrasound to predict clinical trajectory / outcome in patients with COVID-19 Comparison of lung ultrasound findings with clinical markers of COVID-19 disease severity e.g. supplementary oxygen requirements During hospital admission
Secondary Consistency of lung ultrasound interpretation in patients presenting with suspected COVID-19 Comparison of primary and blinded scorer evaluation of lung ultrasound scans for consistency of interpretation and diagnosis On day of admission to hospital
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