Deep Vein Thrombosis Clinical Trial
Official title:
Point-of-care Ultrasound in Finland
Verified date | September 2021 |
Source | Kuopio University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study has two aims. 1. Deep venous thrombosis (DVT) is a common suspected medical condition. If it cannot be excluded clinically and using D-dimer, ultrasound examination is required. An option for traditional radiologist-performed ultrasound is a 2-point compression ultrasound (2-CUS). The safety of this technique is proven. However there does not exist any data on costs comparing traditional and 2-CUS pathways in primary health care. This study will evaluate the total cost of both pathways by conducting a cost-minimization analysis. It will also study the effect of a simple ultrasound education on the referrals to hospital due to suspected DVT. Hypothesis 1: Short education in ultrasound will reduce significantly referrals to hospital and save resources. 2. Length of stay (LOS) in emergency department (ED) is related to increased mortality, morbidity, prolonged hospital stay and probably patient satisfaction. LOS of patients with a point-of-care ultrasound (POCUS) performed by an emergency physician (EP) will be compared to those that have a radiology performed ultrasound examination. Further examination and accuracy of POCUS will be noted. Hypothesis 2: POCUS can shorten LOS significantly in selected clinical conditions
Status | Completed |
Enrollment | 220 |
Est. completion date | December 31, 2019 |
Est. primary completion date | December 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Emergency department patient - A suspected medical condition, that can be confirmed or excluded by basic POCUS exam, including: free fluid in pleura, pericardium or intraperitoneal space, abdominal aorta aneurysm, gallbladder stones, urine retention, deep venous thrombosis in lower limb, pneumothorax, early pregnancy with non-specified location (confirming intrauterine pregnancy), hydronephrosis. - Emergency medicine specialist or resident decides to perform a POCUS exam Exclusion Criteria: - age under 18 - not able to give informed consent in Finnish |
Country | Name | City | State |
---|---|---|---|
Finland | Central Finland central hospital | Jyväskylä | |
Finland | Kuopio university hospital | Kuopio | |
Finland | Saarikka Primary Care Public Utility | Saarijärvi | |
Finland | Tampere university hospital | Tampere |
Lead Sponsor | Collaborator |
---|---|
Ossi Hannula | University of Eastern Finland |
Finland,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Length of stay in emergency department | time between registration in emergency department and "finished from doctor" sign. | Duration of a single emergency department visit. Up to 48 hours. | |
Secondary | Need for follow-up radiologist performed imaging | If radiologist performed ultrasound exam is required, is it performed the same day, during same hospital day or later by appointment. Does the POCUS examination lead to other imaging modality while skipping radiologist performed ultrasound exam. | 6 months | |
Secondary | Accuracy of POCUS exam findings | POCUS findings are compared to any follow-up imaging by radiologist, surgery results or autopsy results when possible | 6 months |
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