Point-of-care Ultrasound in Finland
NCT03327688 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 220
Last updated 2021-09-05
Summary
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
Conditions
- Deep Vein Thrombosis
- Abdominal Aortic Aneurism
- Pneumothorax
- Gallbladder Diseases
- Hydronephrosis
- Pregnancy, Ectopic
- Ascites
- Pleural Effusion
- Pericardial Effusion
Interventions
- DIAGNOSTIC_TEST
-
Point-of-care ultrasound
Point-of-care ultrasound performed by an emergency physician
Sponsors & Collaborators
-
University of Eastern Finland
collaborator OTHER -
Ossi Hannula
lead OTHER
Principal Investigators
-
Harri Hyppölä, docent · Kuopio University Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-10-20
- Primary Completion
- 2019-12-31
- Completion
- 2019-12-31
Countries
- Finland
Study Locations
More Related Trials
-
Ruling Out Pulmonary Embolism During Pregnancy:a Multicenter Outcome Study
NCT00771303 ·Status: COMPLETED
-
A Study to Evaluate the Safety of Withholding Anticoagulation in Patients With Subsegmental PE Who Have a Negative Serial Bilateral Lower Extremity Ultrasound
NCT01455818 ·Status: COMPLETED
-
Standard vs. Ultrasound-assisted Catheter Thrombolysis for Submassive Pulmonary Embolism
NCT02758574 ·Status: COMPLETED ·Phase: NA
-
Pulmonary Embolism Diagnosis: Ultrasound Wells Score vs Traditional Wells Score
NCT02190110 ·Status: COMPLETED
-
Benefit of Machine Learning to Diagnose Deep Vein Thrombosis Compared to Gold Standard Ultrasound
NCT05288413 ·Status: WITHDRAWN
-
Optimum Duration of Acoustic Pulse Thrombolysis Procedure in Acute Pulmonary Embolism
NCT02396758 ·Status: COMPLETED ·Phase: PHASE4
-
Contrast Ultrasound Perfusion Imaging in Peripheral Arterial Disease (PAD)
NCT01377649 ·Status: COMPLETED
-
Accuracy of Multi-organ Ultrasound for the Diagnosis of Pulmonary Embolism
NCT01635257 ·Status: COMPLETED
-
Ultrasound Perfusion Estimation for Assessment of Peripheral Arterial Disease
NCT06952543 ·Status: RECRUITING ·Phase: NA
-
Emergency Medicine Pulmonary Embolism Testing Multicentre Study
NCT06320236 ·Status: RECRUITING
-
Venous Phase Dual Energy CT in Patients Suspected for Pulmonary Embolism.
NCT04859478 ·Status: UNKNOWN ·Phase: NA
-
Non-invasive Diagnosis of Pulmonary Embolism by Use of Biomarkers in Exhaled Breath Condensate
NCT04010760 ·Status: COMPLETED
-
Diagnosing Deep-vein Thrombosis Early in Critically Ill Patients
NCT05112705 ·Status: RECRUITING ·Phase: NA
-
Lung Scintigraphy for Pulmonary Embolism Diagnosis in COVID-19 Patients.
NCT05353608 ·Status: COMPLETED
-
ULTRAsound-assisted Catheter vs. STAndaRd Catheter Thrombolysis for Submassive Pulmonary Embolism
NCT03389971 ·Status: COMPLETED ·Phase: NA
-
POCUS-PEAC to Reduce Femoral Arterial Blood Flow
NCT04745585 ·Status: TERMINATED
-
Contribution of Lower Limb Venous Colour Doppler Ultrasound in the Diagnosis of Pulmonary Embolism Recurrence
NCT05413317 ·Status: COMPLETED
-
Pulmonary Embolism: an Autopsy Study
NCT03887819 ·Status: COMPLETED
-
Low-dose CT Angiography in the Detection of Acute Pulmonary Embolism: Validation in an Obese Population
NCT04018014 ·Status: UNKNOWN
-
Multi-Detector Spiral Computed Tomography Alone Versus Combined Strategy With Lower Limb Compression Ultrasonography in Outpatients Suspected of Pulmonary Embolism
NCT00117169 ·Status: COMPLETED ·Phase: NA
-
Hydro-mechanical Defragmentation of Pulmonary Embolism
NCT04099186 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Diagnosis of Pulmonary Embolism by Use of Biomarkers in Exhaled Breath
NCT06135220 ·Status: COMPLETED
-
Magnetic Resonance Imaging Combined With Venous Ultrasonography of the Legs for Pulmonary Embolism
NCT02059551 ·Status: COMPLETED ·Phase: NA
-
Ventilation and Perfusion Scan in Pulmonary Embolism Following Catheter Directed Thrombectomy Versus Anticoagulation Alone
NCT05133713 ·Status: UNKNOWN
-
Systematic Machine Learning Algorithm for Rapid Thrombosis Detection
NCT06842446 ·Status: RECRUITING ·Phase: NA