Detection of the Incidence of Pre-existing Cardio-pulmonary Diseases by Using of Echocardiography

NCT04112420 | Unknown

• 1 other identifier: FATE
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: The uncomplicated and focused transthoracic cardiac ultrasound examination, which is gentle for the patient, gives the doctor in a short time a lot of information about possible, as unrecognized pathologies of the organs of the chest. Before a patient undergoes a planned procedure or intervention with a subsequent intensive stay, examinations are necessary from which the anesthetist/intensive physician has important information the state of health of the patient. The findings and the information will be used to plan the individual anesthesia procedures and intensive medical management, which is suitable for the patient. The aim of this work is to investigate whether the use of a modified examination protocol in patients who need to be admitted to an intensive care unit has an influence on the actions of the intensive care physician. Does the information that is collected from the findings have a complementary influence in the planning of intensive care management? The Study objectives Primary objectives: What is the frequency with which pathological changes are detected? Secondary objectives: Do the additional findings have an influence on the intensive care procedure?

Conditions

Intensive Care Unit Syndrome

Outcome Measures

Primary Outcomes (1)

• Detection the pathological changes and finding of the Heart and the lung by using the Transesophgeal Echocardiography

  Using the Transesophgeal Echocardiography to detect the pathological changes and finding of the Heart and the lung (Percardial effusion in centimeter,pleural effusion in centimeter,ejection fraction in percentage,left ventricular hypertrophy in centimeter)

  It take over for every patient about 20 minutes to 30 minutes

Secondary Outcomes (1)

• Correlation between the finding that will be detected by transesophageal Echocardiography (TEE) and the management plan of the patient

  from the first day of admission in the intensive care up to three days

Study Arms (1)

Group A

OTHER

200 Participants more than 60 yrs old having Trans-esophageal Echocardiography examination upon admission to ICU

Diagnostic Test: Trans-esophageal echocardiography

Interventions

Trans-esophageal echocardiography DIAGNOSTIC_TEST

The department registers an unplanned admission of a patient to the intensive care unit. The indication is verified again by the intensive care physician. In this case, the patient is then admitted to the intensive care unit, supervised by an intensive care physician, orientated and initiated therapeutic and diagnostic measures. As part of the planned transthoracic cardiac ultrasound examination, it is then selected whether the patient is suitable according to the patient's will and the inclusion or exclusion criteria. After clarification, time to think and consent, the examination is then carried out according to the protocol by approved doctors of the Clinic for Anesthesia, intensive care and pain therapy. Followed by digital storage for the finding. After the subsequent operation, the investigator determines whether knowledge of detected pathologies would have an effective influence on the anesthesiological procedure or not.

Group A

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients of both sexes
• Age: greater than 60 years old
• Unplanned admission to the intensive care unit
• The patient's or caregiver's ability to educate
• Existing approval of the study

You may not qualify if:

• Lack of consent
• Alter \< 60 years old
• Non-Informable Patient.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut University Hospital

Asyut, 171515, Egypt

RECRUITING

Study Officials

• Mohamed Abdelsalam, Master

  Vivantes Auguste-Viktoria-Klinikum

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mohamed Klany Ali Abdelsalam, Master

CONTACT

+4915213709835; mohamedkelany88@gmail.com

Ragaa Ahmed Herdan, M.D

CONTACT

+201001741748; ragaanesthesia@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 200 patients \> 60 years with unplanned admission to the intensive care unit are to be included in the study.

Study Record Dates

• First Submitted: September 25, 2019
• First Posted: October 2, 2019
• Study Start: October 1, 2019
• Primary Completion: March 1, 2021
• Study Completion: March 31, 2021
• Last Updated: January 30, 2020

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)