Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department

NCT06573541 | Active Not Recruiting

• 1 other identifier: 2024-A01851-46
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Context: shock is a serious pathology where diagnostic and therapeutic speed determines the prognosis, ultrasound can be a valuable aid for the emergency physician to differentiate the different types of shock and allow appropriate treatment. Hypothesis: what are the uses of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Emergency Department of Nancy? Main outcome: Describe the use of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Nancy Emergency Department Secondary outcome: Study the contribution of the use of different ultrasound techniques in the initial diagnostic and therapeutic management of patients depending on the type of shock state

Conditions

Shock

Keywords

shock; ultrasound; emergency department

Outcome Measures

Primary Outcomes (1)

• rate of ultrasound use

  use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state

  Day 0

Secondary Outcomes (1)

• rate of patients with care changes

  Day 0

Study Arms (2)

group receiving ultrasound

Device: Use of ultrasound

group not receiving ultrasound

Interventions

Use of ultrasound DEVICE

Use of ultrasound in the initial management of patients in shock

group receiving ultrasound

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults in shock at the Nancy ED

You may qualify if:

• Age ≥ 18 years old
• Shock (MAP \< 65 mmHg + lactate ≥ 2 mmol/l)
• Admission to the Nancy ED between 01/01/2023 and 12/31/2023
• ICD-10 output coding: R57: shock, not elsewhere classified; R570: cardiogenic shock; R571: hypovolemic shock; R572: septic shock; R578: other shocks; R579: shock, unspecified; T794: traumatic shock; T782: anaphylactic shock, unspecified; or diagnosis of entry into intensive care including the word "shock"

You may not qualify if:

• Age \< 18 years old
• Absence of shock
• No passage through the Nancy ED
• Patient whose initial treatment was carried out in another emergency department
• State of shock occurring after going to the emergency department

Sponsors & Collaborators

• Central Hospital, Nancy, France: lead

Study Sites (1)

CHRU

Nancy, France

Location

MeSH Terms

Conditions

Shock; Emergencies

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Disease Attributes

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 19, 2024
• First Posted: August 27, 2024
• Study Start: January 1, 2023
• Primary Completion: January 1, 2023
• Study Completion: October 31, 2025
• Last Updated: August 27, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)