Point-of-care Ultrasound in Prehospital Dyspnea

NCT03905460 | Completed

• 1 other identifier: POC Ultrasound
• Study Type: observational
• Target: 219
• Locations: 1 country
• Sites: 1

Brief Summary

Point-of-care ultrasound in patients with dyspnoea has been shown to alter patient treatment and the time to correct treatment when performed in emergency departments. In Denmark, physician-staffed ambulances are sent to citizens with severe ABCD symptoms including dyspnoea. Hence, there is a potential for correct diagnostics and appropriate treatment already in the citizens' own home or en route to the hospital. This study aims to evaluate the clinical performance of prehospital point-of-care ultrasound in patients with dyspnoea.

Conditions

Dyspnea

Outcome Measures

Primary Outcomes (1)

• Sensitivity for diagnosing heart failure

  Change in sensitivity for diagnosing heart failure when adding point-of-care ultrasound to the clinical examination

  From initial citizen contact to end of ultrasound examination within 15 minutes

Secondary Outcomes (5)

• Sensitivity, clinical exam

  From initial citizen contact and within a time-span of 15 minutes

• Sensitivity, Ultrasound examination

  From initial citizen contact and within a time-span of 15 minutes

• Treatment changes in medicine caused by ultrasound examination

  From initial citizen contact and within a time-span of 15 minutes

• Treatment changes in ventilation caused by ultrasound examination

  From initial citizen contact and within a time-span of 15 minutes

• Triage changes caused by ultrasound examination

  From initial citizen contact and within a time-span of 60 minutes

Interventions

Point-of-care ultrasound DIAGNOSTIC_TEST

Focused ultrasound of the heart, lungs and pleurae

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All citizens who have contacted the Acute Medical Coordination center in the Central Denmark Region for emergency medical treatment.

You may qualify if:

• age \>/= 18 years
• dyspnea as a dominating complaint At least one of
• respiratory frequency \>25/minute
• oxygen saturation \< 95%
• oxygen therapy initiated

You may not qualify if:

• trama patients
• prior enrollment

Sponsors & Collaborators

• University of Aarhus: lead
• Randers Regional Hospital: collaborator

Study Sites (1)

Præhospitalet

Aarhus, Denmark

Location

Related Publications (1)

• Gundersen EA, Juhl-Olsen P, Bach A, Rostgaard-Knudsen M, Nielsen BRR, Skaarup SH, Petersen HO, Fjolner J, Poulsen MGG, Botker MT. PrehospitaL Ultrasound in Undifferentiated DyspnEa (PreLUDE): a prospective, clinical, observational study. Scand J Trauma Resusc Emerg Med. 2023 Feb 5;31(1):6. doi: 10.1186/s13049-023-01070-4.

  PMID: 36740691 DERIVED

MeSH Terms

Conditions

Dyspnea

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Morten Bøtker, MD, Phd

  Prehospital of Central Denmark Region

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 21, 2019
• First Posted: April 5, 2019
• Study Start: May 15, 2019
• Primary Completion: December 1, 2021
• Study Completion: December 30, 2021
• Last Updated: November 2, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)