Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.
Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. This method significantly aids in diagnosis and treatment by enhancing accuracy, guiding treatment adjustments, aiding procedural interventions, and reducing the time to appropriate treatment, ultimately leading to better patient outcomes. POCUS also decreases the reliance on other imaging modalities, providing real-time information and minimizing additional imaging needs. POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. The potential value of POCUS in these wards is notable, as it can facilitate early complication detection and timely treatment adjustments, reducing complication incidences. Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. NPs, as frontline healthcare professionals, can use POCUS to enhance diagnostic and therapeutic capabilities. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
144
The investigators will use point-of-care ultrasound to exam participants including lungs, heart, liver, spleen, kidney and bladder, etc.
National Taiwan University Hospital
Taipei, Taiwan
Proportion of accurate diagnosis
The proportion of accurate physician diagnosis achieved at 48 hours after admission to medical wards
Time frame: At 48 hours after admission to medical wards
Hospital mortality
Rate of hospital mortality of the participants
Time frame: Until death, hospital discharge or up to 28 days
Rate of ICU transfer
Rate of participants requiring ICU care
Time frame: Within 7 days after admission to medical wards
Length of hospital stay
The length of hospital stay of the participants
Time frame: Until death, hospital discharge or up to 28 days
Categories and numbers of invasive procedures
Categories and numbers of invasive procedures required by the participants
Time frame: Within 7 days after admission to medical wards
Categories and numbers of imaging studies
The requests for additional categories and numbers of imaging studies for the participants
Time frame: Within 7 days after admission to medical wards
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.