Validation of Epworth Richmond's Echocardiography Education Focused Year

Pulmonary Embolism Clinical Trial

— VEREEFY  

Official title:

Validation of Epworth Richmond's Echocardiography Education Focused Year

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02961439
• Other study ID #: EH2016-133
• Status: Completed
• Phase: N/A
• First received: November 3, 2016
• Last updated: August 9, 2017
• Start date: November 2016
• Est. completion date: May 1, 2017

Study information

• Verified date: August 2017
• Source: Epworth Healthcare
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care.

The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 252
• Est. completion date: May 1, 2017
• Est. primary completion date: May 1, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Registrar Inclusion:

• At least 12 month appointment in Epworth Richmond ICU

• Completion of theoretical component of Epworth Richmond ICU echocardiography program

• Completion of 30 echocardiography scans

Registrar Exclusion:

• Previous experience in echocardiography prior to commencing at Epworth Richmond.

Patient Inclusion

• Patient in ICU or CCU

• 18 years or older

• Not likely to be discharged before completion of the scan

Patient Exclusion

• Likely to be discharged within next two hours

• Atrial fibrillation

• Presence of subcostal or intercostal drains or pneumothorax

• Unable to be consented

• Treating intensivist deems inclusion in study not suitable.

Related Conditions & MeSH terms

• Cardiac Tamponade
• Embolism
• Hypovolemia
• Pulmonary Embolism
• Shock, Cardiogenic

Intervention

Behavioral:
• Epworth Richmond's Echocardiography Focused Year
a year long echo teaching program

Locations

Country	Name	City	State
Australia	Epworth Richmond	Melbourne	Victoria

Sponsors (2)

Lead Sponsor	Collaborator
Epworth Healthcare	University of Melbourne

Country where clinical trial is conducted

Australia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Agreement between registrar and expert assessment of Left ventricular (LV) function		Four months
Secondary	Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd)		Four months
Secondary	Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter		Four months
Secondary	Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI)		Four months
Secondary	Comparison of expert and registrar quantitative measures of TR V max		Four months
Secondary	Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE)		Four months
Secondary	Comparison of expert and registrar quantitative measures of IVC diameter		Four months
Secondary	Comparison of expert and registrar qualitative assessment of pericardial fluid		Four months
Secondary	Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio		Four months