Point-of-Care Ultrasound in Primary Care

Emergency Medical Service of the Central Bohemian Region, Czech Republic600 enrolled

Overview

The purpose of this study is to evaluate reliability of Point-of-Care ultrasound evaluation performed by general practitioners.

The purpose of this study is to evaluate reliability of Point-of-Care ultrasound (POCUS) evaluation performed by general practitioners. General practitioners who underwent predefined training in POCUS will perform ultrasound examination in outpatients meeting inclusion criteria. While this is observational study, result will not have an impact on the management of the patients. Regardless of the POCUS examination, patients undergo a routine diagnostic process which is appropriate for the initial symptom. Imaging examinations will always be a part of this. This will serve as an expert control to evaluate the reliability of POCUS Each POCUS examination will also be recorded as a video loop, subsequently assessed by an expert in the POCUS and also used as an expert control. The data will be analyzed by standard reliability testing.

Study Type

OBSERVATIONAL

Enrollment

600

Conditions

Ultrasound

Interventions

UltrasoundDIAGNOSTIC_TEST

Each patient included to the study will undergo Point-of-Care ultrasound testing specific for the area defined in the Groups section.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient with abdominal pain in the right upper quadrant (will be indicated for the abdominal ultrasound) or patient with dyspnoea (will be indicated for lung ultrasound) or patient with suspected deep vein thrombosis (will be indicated for compression ultrasound testing) * Signing of informed consent to participate in the study Exclusion Criteria: * Age \<18 years * Refusal of ultrasound examination by patient * Any circumstance that prevents ultrasonographic examination (eg allergy to ultrasonographic gel, skin lesions that do not allow safe examination, etc.)

Locations (1)

Masaryk Hospital Usti nad Labem

Ústí nad Labem, Czechia

RECRUITING

Outcomes

Primary Outcomes

Reliability of Point-of-Care ultrasound investigation of the lungs, gall bladder or proximal deep veins of lower extremities performed by general practitioner compared with the expert diagnostic method

General practitioners will perform the type of Point-of-Care ultrasound investigation which will relate to the type of symptoms. Then, the result of this investigation will be compared with the expert diagnostic method. This will be chest X ray scan or pulmonary CT for group 1 patients, expert abdominal ultrasound for group 2 patients and expert complete compression ultrasound for group 3 patients. These examinations are not study interventions, while they are a routine procedures, which would be indicated irrespective of the study.

Time frame: 7 months

Central Contacts

Roman Skulec, MD, PhD

CONTACT

+420 777 577 497 skulec@email.cz

David Halata, MD

CONTACT

+420 731 826 557 halatad@gmail.com

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.