Screening of Patients Admitted to a Local Hospital With Pocket-sized Ultrasound

Study Overview
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Brief Summary
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Ultrasound (US) is widely used as a diagnostic tool in a hospital setting. In a medical department, diagnosis like heart failure or most kinds of heart diseases, hypervolemia, hypovolemia, pleural effusion, pericardial effusion, ascites, diseases in the gall bladder/bile tract, urine tract and venous thrombosis are common. US is the key diagnostic tool in these diagnosis, and on early diagnosis is crucial both on behalf of the patients well-being, and for hospital logistic reasons. The aim is to study the clinical use of pocket sized US as a screening diagnostic tool in an department of internal medicine. Method: All patients admitted (in certain preset periods) to Department of medicine will be screened with pocket sized US by expert user. Changes in diagnoses, as well as medications as a result of US screening will be the endpoints. US findings will be validated against standard echocardiography, or standard US/CT/MRI performed at the Radiological department. The aim is to study the clinical use of pocket sized US as a screening diagnostic tool in a department of cardiology. Method: All patients admitted (in certain preset periods) to Department of cardiology will be screened with pocket sized US for heart disease, pericardial and pleural effusion. Examinations by expert users. Specific findings could be myocardial dysfunction as heart failure, cardiomyopathies, regional dysfunction due to ischemia, valvular dysfunction, atrial enlargement, and pleural/pericardial effusion. Changes in diagnoses, as well as medications as a result of US screening will be the endpoints. US findings will be validated against standard echocardiography in all. As in 1), but examination by non-expert users compared to expert users.

Official Title
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Screening With Pocket-sized Ultrasound of Patients Admitted to Department of Medicine at a Local Hospital

Conditions
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Heart Disease, Dyspnea, Aortic Disease, Kidney Disease, Liver Disease

Intervention / Treatment
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* Other: Ultrasound examination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients admitted to Dep. of Medicine at Levanger Hospital Exclusion Criteria: Not able to give informed consent

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 110 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Ultrasound screening<br>Patients admitted to Department of medicine at local hospital. Randomized inclusion, informed consent obtained. | Other: Ultrasound examination<br>* Screening with bedside ultrasound examination<br>* Other names: GE Vingmed VScan;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diagnostic sensitivity and specificity | Diagnostic accuracy and clinical usefulness of ultrasound screening as add on examination. Change in working diagnosis after ultrasound examination will be tested, and gold standards (echocardiography and examinations at Department of radiology) will be used for testing of sensitivity and specificity. | After 3-6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Non-experts | Validation of results from ultrasound examination made by non-experts compared to expert users. | After 3-6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Echocardiography, Heart failure, Kidney, Lung, Aorta