Point of Care Ultrasound to Predict Intensive Care Unit Admission of Patients Presenting With Sepsis to the Emergency Department

Northwell Health134 enrolled

Overview

The FloPatch device will be applied to 150 septic patients in the emergency department before they receive fluid resuscitation. This study will assess whether initial FloPatch measured volume-responsiveness and volume of fluids used will predict a composite outcome of mortality, intensive care unit admission, or rapid response team activation. The development of fluid unresponsiveness throughout the initial fluid resuscitation will be assessed and its association with the composite outcome will be assessed.

Study Type

OBSERVATIONAL

Enrollment

134

Conditions

Sepsis

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Emergency department patient * 18+ years old * Systolic blood pressure less than 100mmHg * Respiratory rate greater than 22 breaths per minutes * Temperature greater than 38 degrees Celsius or less than 36 degrees Celsius * Heart rate greater than 90 beats per minute Exclusion Criteria: * Already intubated prior to emergency department arrival * Ventilator-dependent * Patients transferred from another hospital * Pregnancy

Locations (1)

North Shore University Hospital

Manhasset, New York, United States

Outcomes

Primary Outcomes

Mortality

This study will ascertain whether the patient died within 24 hours of ED arrival.

Time frame: 24 hours

ICU admission

This study will ascertain whether the patient was admitted to the ICU within 24 hours of ED arrival.

Time frame: 24 hours

Rapid response team activation

This study will ascertain whether a rapid response team was activated for the patient within 24 hours of ED arrival.

Time frame: 24 hours

Data from ClinicalTrials.gov

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