A Study to Improve the FAST Ultrasound Exam
Can we be FASTeR? A Multicenter Study Utilizing Right Sided Roll to Improve Sensitivity of the FAST Examination
1 other identifier
interventional
182
1 country
2
Brief Summary
This research study aims to improve the standard exam called Focused Assessment with Sonography in Trauma (FAST). The FAST exam is an ultrasound test used to identify an abdominal bleed. The study will see if having patients roll on their right side improves the FAST exam. Making the FAST exam better can help trauma doctors save the lives of patients with bleeding.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2017
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 28, 2016
CompletedFirst Posted
Study publicly available on registry
December 13, 2016
CompletedStudy Start
First participant enrolled
January 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2023
CompletedResults Posted
Study results publicly available
March 20, 2024
CompletedMarch 20, 2024
March 1, 2023
5.4 years
November 28, 2016
March 24, 2023
February 21, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Subjects Screening Positive for Blood Around the Abdominal Organs (Hemoperitoneum) After Trauma, as Assessed by Focused Assessment With Sonography for Trauma (FAST), a Rapid Bedside Ultrasound Examination.
Number of subjects screening positive for blood around the abdominal organs (hemoperitoneum) after trauma, as assessed by focused assessment with sonography for trauma (FAST), a rapid bedside ultrasound examination.
24 hours
Study Arms (1)
FAST examination after Right sided roll (FASTeR)
EXPERIMENTALSubjects will have a standard FAST exam, and will then be rolled onto their right side and the FAST exam will be repeated.
Interventions
Positional change before Fast exam
Eligibility Criteria
You may qualify if:
- All trauma patients who present as a Trauma Activation with clinical history or physical signs of blunt abdominal trauma.
You may not qualify if:
- Pregnant females
- Prisoners
- Patients with prohibitive right sided chest trauma
- Patients in extremis undergoing salvage maneuvers (chest compressions or emergent surgical intervention) which prevents performance of an ultrasound examination
- Patient who leave against medical advice or are otherwise removed from the medical system before their work up has been completed
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Robert Packer Hospital
Sayre, Pennsylvania, 18840, United States
The Guthrie Clinic
Sayre, Pennsylvania, 18840, United States
Related Publications (1)
Cibulas Shumway M, Granet J, Solomon RJ, Parreco JP, Lee SK, Pigneri DA; FASTeR Study Group. Using Right-Sided Roll to Improve Reliability of Focused Assessment with Sonography in Trauma: An Eastern Association for the Surgery of Trauma Multicenter Prospective Study. J Am Coll Surg. 2023 Jan 1;236(1):99-104. doi: 10.1097/XCS.0000000000000443. Epub 2022 Dec 15.
PMID: 36519913RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Danielle A Pigneri, MD, FACS
- Organization
- Medical City Arlington, 3301 Matlock Rd, Arlington, TX 76015
Study Officials
- PRINCIPAL INVESTIGATOR
Danielle Pigneri, MD
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 28, 2016
First Posted
December 13, 2016
Study Start
January 1, 2017
Primary Completion
June 1, 2022
Study Completion
January 1, 2023
Last Updated
March 20, 2024
Results First Posted
March 20, 2024
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share