Ultrasound (US) is widely used as a diagnostic tool in a hospital setting. In a medical department, diagnosis like heart failure or most kinds of heart diseases, hypervolemia, hypovolemia, pleural effusion, pericardial effusion, ascites, diseases in the gall bladder/bile tract, urine tract and venous thrombosis are common. US is the key diagnostic tool in these diagnosis, and on early diagnosis is crucial with respect to the patients well-being and inpatients workflow. 1\. The aim is to study the clinical use of pocket-size US as a screening diagnostic tool in an medical department with respect to inpatients workflow and diagnostics. Method: Patients admitted (in certain preset periods) to Department of medicine will be randomized to routinely adding an ultrasound examination with pocket-size device by residents on call. Time to definitive diagnosis, time to definitive treatment and time to discard will be recorded. US findings will be validated against standard echocardiography, or standard US/CT/MRI performed at the Radiological department.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
600
Routinely adding a ultrasound examination of the heart, pleura, great abdominal vessels, liver/gall bladder and kidneys at patients admittance to hospital
No intervention, except for usual care (goal-directed diagnostics)
Department of Medicine, Levanger Hospital, Nord-Trøndelag Health Trust
Levanger, Norway
Time to definitive diagnosis
Time from admittance to definitive diagnosis
Time frame: 3 months
Test-retest reproducibility
Pocket-sized ultrasound recordings by residents will be validated against reference methods (echocardiography and radiologic examinations by sepcialists)to assess sensitivity, specificity, positive and negative predictive values of pocket-size ultrasound.
Time frame: 3 months
Diagnostic outcome of additional ultrasound examination according to educational level of the performer
Study the diagnostic outcome of ultrasound screening related to the educational level and skills of the user
Time frame: 3 months
Time to definitive treatment
Time from admittance to definitive treatment
Time frame: 3 months
Time to discharge
Time from patients admittance to discharge from hospital
Time frame: 3 months
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