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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03296085
Other study ID # 2017-0434
Secondary ID
Status Terminated
Phase
First received
Last updated
Start date November 30, 2017
Est. completion date December 30, 2022

Study information

Verified date June 2023
Source Geisinger Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Edema, commonly called swelling, is a common medical condition, with many causes. Clinicians generally find edema by pressing against a patient's skin, usually on the feet or shins, and observing how much dimpling there is in the skin. Most clinicians estimate the amount on a scale of mild to severe, or perhaps state the amount as 1 to 4. There is little agreement between observers, and it is hard to judge different clinicians' use of these scales. The first part of this experiment will demonstrate this inconsistency. After clinicians are shown a new technique for measuring edema, the second part of the study will show more accurate and consistent measurements. This will help clinicians to measure edema better, and to communicate their findings to other clinicians more effectively.


Description:

The research team will recruit as many clinicians who are conveniently available for the study. Clinicians will include attending physicians from any specialty, residents, medical students, physician assistants, physician assistant students, nurses, certified nurse practitioners, and certified nurse practitioner students. Once patients and clinicians have been recruited, the research team will maintain a list of the patients and a grid of which clinicians are to examine which patients. Each clinician will be given a data collection sheet, listing the patients' room numbers, and a grid for recording results for each of the patient's affected limb(s). The first data collection sheet (before instruction on the quantitative method) will just show a blank free text field so that clinicians can record their results as they normally do. After instruction in the novel quantitative technique, the clinicians will receive another data collection sheet now indicating the intent to have the clinicians record their findings in millimeters. The expectation is that a minimum of 6 examiners will determine the extent of edema on at least 38 limbs. If possible, the research will continue until approximately 100 limbs have been examined by a total of at least 10 to 20 clinicians.


Recruitment information / eligibility

Status Terminated
Enrollment 1
Est. completion date December 30, 2022
Est. primary completion date December 12, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Currently admitted patients - Patient who can understand the purpose of the study and sign a consent form - Patient has a measurable amount of edema - Patient will likely be available during the time the clinicians can examine the patient Exclusion Criteria: - Unable or unwilling to sign the consent form - No measurable edema - Currently in isolation for infection control purposes - Patients in the Behavioral Health section of the hospital - Maternity patients (due to availability of infant rooming-in) - Prisoners - Age below 18 years - Patients with bilateral lower extremity amputation

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Exam for quantity of edema
There is no intervention

Locations

Country Name City State
United States Geisinger Holy Spirit Camp Hill Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Geisinger Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Inter-observer correlation of edema measurement before instruction in novel technique Observe the variation in edema documentation based on standard examination technique one day
Primary Inter-observer correlation of edema measurement after instruction in novel technique Observe the variation in edema documentation based on the novel examination technique one day
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