Lung Ultrasound Implementation in the Management of Patients Hospitalized With COVID-19

NCT04542421 | Completed Results FDA Device

• 1 other identifier: 20-0781
• Study Type: interventional
• Target: 384
• Locations: 1 country
• Sites: 1

Brief Summary

Lung ultrasound (LUS) has also been shown to be more accurate than chest x-ray in identifying pulmonary consolidation and pulmonary edema, both of which are found in patients with COVID. The investigators hypothesize implementation of LUS by hospitalists in the management of suspected or diagnosed patients with COVID-19 will reduce the need for Chest CT and chest x-ray, thereby conserving PPE, reducing risk of transmission to technicians and conserving the resources of radiology services that would otherwise be overwhelmed by patients with COVID-19 in need of chest imaging. Using the methods of implementation science, the investigators propose to respond to the urgent need for rapid implementation of LUS by hospitalists in management of adult patients hospitalized for COVID. Aim 1a: Using a rapid-cycle weekly Plan-Do-Study-Act cycle and Rapid Iterative RE-AIM, to optimize the implementation of LUS by adult hospitalists in the management of COVID-19 patients in a pilot study Aim 1b: Evaluate this pilot implementation of LUS by adult hospitalists using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.

Conditions

Covid19

Keywords

COVID-19; lung ultrasound

Outcome Measures

Primary Outcomes (1)

• Hospitalists Who Adopt Lung Ultrasound

  Number of hospitalists who adopt lung ultrasound in the care of patients hospitalized with COVID

  number of hospitalists who adopt lung ultrasound over a twelve month period

Secondary Outcomes (1)

• Patients With COVID Who Receive Lung Ultrasound

  patients with COVID who received a lung ultrasound by a hospitalist over a 12 month period

Study Arms (1)

Lung ultrasound Implementation arm

EXPERIMENTAL

Hospitalists undergo training to use lung ultrasound in their patients hospitalized with COVID

Diagnostic Test: Lung ultrasound use in patients hospitalized with COVID

Interventions

Lung ultrasound use in patients hospitalized with COVID DIAGNOSTIC_TEST

Hospitalists will be taught to use lung ultrasound in the management of their patients with COVID

Lung ultrasound Implementation arm

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Physicians and advanced care provider faculty in the Division of hospital medicine at University of Colorado Hospital, Aurora Colorado

You may not qualify if:

• Physicians and advanced care provider Faulty within the Division of Hospital medicine at University of Colorado Hospital who care for hospitalized patients less than 2 weeks per year

Sponsors & Collaborators

• University of Colorado, Denver: lead

Study Sites (1)

University of Colorado

Denver, Colorado, 80238, United States

Location

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Results Point of Contact

• Title: Dr Anna Maw
• Organization: u of colorado

anna.maw@cuanschutz.edu

720-848-4289

Study Officials

• Anna Maw, MD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 4, 2020
• First Posted: September 9, 2020
• Study Start: July 1, 2020
• Primary Completion: June 30, 2021
• Study Completion: February 1, 2022
• Last Updated: March 13, 2023
• Results First Posted: March 13, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)