Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards

NCT06529315 | Completed

• 1 other identifier: 202405109RINA
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.

Conditions

Point-of-care Ultrasound

Outcome Measures

Primary Outcomes (1)

• Proportion of accurate diagnosis

  The proportion of accurate physician diagnosis achieved at 48 hours after admission to medical wards

  At 48 hours after admission to medical wards

Secondary Outcomes (5)

• Hospital mortality

  Until death, hospital discharge or up to 28 days

• Rate of ICU transfer

  Within 7 days after admission to medical wards

• Length of hospital stay

  Until death, hospital discharge or up to 28 days

• Categories and numbers of invasive procedures

  Within 7 days after admission to medical wards

• Categories and numbers of imaging studies

  Within 7 days after admission to medical wards

Study Arms (2)

Group PoCUS

EXPERIMENTAL

Participants assigned to Group PoCUS will undergo point-of-care ultrasound evaluations by nurse practitioners/physicians within their first 24 hours of admission to the general ward.

Other: Point-of-Care Ultrasound

Group Usual Care

NO INTERVENTION

Participants assigned to Group Usual Care will receive usual standard care.

Interventions

Point-of-Care Ultrasound OTHER

The investigators will use point-of-care ultrasound to exam participants including lungs, heart, liver, spleen, kidney and bladder, etc.

Group PoCUS

Eligibility Criteria

• Age: 18 Years - 120 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 years or older
• Admitted directly from emergency department

You may not qualify if:

• End-of-life care
• Immediate need for life-support therapy or ICU transfer
• Airborne isolation

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, 100, Taiwan

Location

Related Publications (17)

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Study Officials

• Chun-Ta Huang, MD

  National Taiwan University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Associate Professor

Study Record Dates

• First Submitted: July 8, 2024
• First Posted: July 31, 2024
• Study Start: August 1, 2024
• Primary Completion: October 25, 2024
• Study Completion: December 17, 2024
• Last Updated: November 19, 2025

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)