Validation of Epworth Richmond's Echocardiography Education Focused Year

NCT02961439 | Completed

• 1 other identifier: EH2016-133
• Study Type: observational
• Target: 252
• Locations: 1 country
• Sites: 1

Brief Summary

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care. The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.

Conditions

Shock, Cardiogenic; Cardiac Tamponade; Pulmonary Embolism; Hypovolemia

Outcome Measures

Primary Outcomes (1)

• Agreement between registrar and expert assessment of Left ventricular (LV) function

  Four months

Secondary Outcomes (8)

• Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd)

  Four months

• Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter

  Four months

• Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI)

  Four months

• Comparison of expert and registrar quantitative measures of TR V max

  Four months

• Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE)

  Four months

Study Arms (2)

Patient Participants

Patient participants are adult patients in the Epworth Richmond Intensive care Unit. They are not the focus of the research but rather represent a general population of ICU patients that require echocardiography in the management of their critical illness. They will be a mix of medical and surgical patients some of whom are receiving mechanical ventilation, have movement restrictions, high BMI or other impediments to performing echocardiography.

Registrar Participants

Registrar participants are doctors in training in ICU. They have completed a formal echo teaching program and completed a logbook of 30 supervised scans. They are the focus of the research and are being assessed on their diagnostic accuracy with echocardiography.

Behavioral: Epworth Richmond's Echocardiography Focused Year

Interventions

Epworth Richmond's Echocardiography Focused Year BEHAVIORAL

a year long echo teaching program

Registrar Participants

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Registrar Participants and Patient Participant

You may qualify if:

• At least 12 month appointment in Epworth Richmond ICU
• Completion of theoretical component of Epworth Richmond ICU echocardiography program
• Completion of 30 echocardiography scans

You may not qualify if:

• Previous experience in echocardiography prior to commencing at Epworth Richmond.
• Patient in ICU or CCU
• years or older
• Not likely to be discharged before completion of the scan
• Likely to be discharged within next two hours
• Atrial fibrillation
• Presence of subcostal or intercostal drains or pneumothorax
• Unable to be consented

Sponsors & Collaborators

• Epworth Healthcare: lead
• University of Melbourne: collaborator

Study Sites (1)

Epworth Richmond

Melbourne, Victoria, 3121, Australia

Location

Related Publications (1)

• Brooks KS, Tan LH, Rozen TH, Kelly D, McKenzie DP, Calafiore P, Barrett J. Validation of Epworth Richmond's Echocardiography Education Focused Year. Crit Care Med. 2020 Jan;48(1):e34-e39. doi: 10.1097/CCM.0000000000004076.

  PMID: 31725442 DERIVED

MeSH Terms

Conditions

Shock, Cardiogenic; Cardiac Tamponade; Pulmonary Embolism; Hypovolemia

Condition Hierarchy (Ancestors)

Myocardial Infarction; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis; Shock; Lung Diseases; Respiratory Tract Diseases; Embolism; Embolism and Thrombosis

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Intensivist

Study Record Dates

• First Submitted: November 3, 2016
• First Posted: November 11, 2016
• Study Start: November 1, 2016
• Primary Completion: May 1, 2017
• Study Completion: May 1, 2017
• Last Updated: August 10, 2017

Record last verified: 2017-08

Locations

AU (1)