Point-of-Care Ultrasound in Primary Care

NCT04905719 | Unknown

• 1 other identifier: POCUSiGP01
• Study Type: observational
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate reliability of Point-of-Care ultrasound evaluation performed by general practitioners.

Conditions

Ultrasound

Outcome Measures

Primary Outcomes (1)

• Reliability of Point-of-Care ultrasound investigation of the lungs, gall bladder or proximal deep veins of lower extremities performed by general practitioner compared with the expert diagnostic method

  General practitioners will perform the type of Point-of-Care ultrasound investigation which will relate to the type of symptoms. Then, the result of this investigation will be compared with the expert diagnostic method. This will be chest X ray scan or pulmonary CT for group 1 patients, expert abdominal ultrasound for group 2 patients and expert complete compression ultrasound for group 3 patients. These examinations are not study interventions, while they are a routine procedures, which would be indicated irrespective of the study.

  7 months

Study Arms (3)

Patients with dyspnea

Patients who visit a general practitioner for dyspnea will undergo a Point-of-Care ultrasound examination of the lungs to identify the presence or the absence of A-profile, B-profile and pleural effusion.

Diagnostic Test: Ultrasound

Patients with abdominal pain

Patients who visit a general practitioner for abdominal pain in the right upper quadrant will undergo abdominal Point-of-Care ultrasound examination to identify cholecystolithiasis.

Diagnostic Test: Ultrasound

Patients with suspected deep vein thrombosis

Patients who visit a general practitioner for pain and / or swelling of the lower extremity will undergo compression ultrasound testing to identify proximal deep vein thrombosis.

Diagnostic Test: Ultrasound

Interventions

Ultrasound DIAGNOSTIC_TEST

Each patient included to the study will undergo Point-of-Care ultrasound testing specific for the area defined in the Groups section.

Patients with abdominal pain; Patients with dyspnea; Patients with suspected deep vein thrombosis

Eligibility Criteria

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

Study Population

Adult outpatients.

You may qualify if:

• Patient with abdominal pain in the right upper quadrant (will be indicated for the abdominal ultrasound) or patient with dyspnoea (will be indicated for lung ultrasound) or patient with suspected deep vein thrombosis (will be indicated for compression ultrasound testing)
• Signing of informed consent to participate in the study

You may not qualify if:

• Age \<18 years
• Refusal of ultrasound examination by patient
• Any circumstance that prevents ultrasonographic examination (eg allergy to ultrasonographic gel, skin lesions that do not allow safe examination, etc.)

Sponsors & Collaborators

• Emergency Medical Service of the Central Bohemian Region, Czech Republic: lead
• The Society of General Practice, J. E. Purkyne Czech Medical Association: collaborator
• Institute for Postgraduate Medical Education, Czech republic: collaborator

Study Sites (1)

Masaryk Hospital Usti nad Labem

Ústí nad Labem, 40113, Czechia

RECRUITING

Related Publications (1)

• Halata D, Zhor D, Skulec R, Seifert B. Accuracy of point-of-care ultrasound examination of the lung in primary care performed by general practitioners: a cross-sectional study. BMC Prim Care. 2025 Apr 8;26(1):99. doi: 10.1186/s12875-025-02802-4.

  PMID: 40200132 DERIVED

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Roman Skulec, MD, PhD

  Masaryk Hospital Usti nad Labem

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Roman Skulec, MD, PhD

CONTACT

+420 777 577 497; skulec@email.cz

David Halata, MD

CONTACT

+420 731 826 557; halatad@gmail.com

Study Design

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

Study Record Dates

• First Submitted: May 24, 2021
• First Posted: May 28, 2021
• Study Start: June 10, 2021
• Primary Completion: December 31, 2021
• Study Completion: June 30, 2022
• Last Updated: July 13, 2021

Record last verified: 2021-07

Locations

CZ (1)