Clinical trial NCT06529315: Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
Official title: Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Point-of-care Ultrasound
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2024-07-31
Enrollment: 144
Sex: ALL
Minimum age (years): 18
Maximum age (years): 120
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

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.

Detailed description: Point-of-care ultrasound (POCUS) is a bedside portable ultrasound technique utilized by healthcare providers to offer rapid and non-invasive diagnostic imaging. This method significantly aids in diagnosis and treatment by enhancing accuracy, guiding treatment adjustments, aiding procedural interventions, and reducing the time to appropriate treatment, ultimately leading to better patient outcomes. POCUS also decreases the reliance on other imaging modalities, providing real-time information and minimizing additional imaging needs.

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. The potential value of POCUS in these wards is notable, as it can facilitate early complication detection and timely treatment adjustments, reducing complication incidences.

Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. NPs, as frontline healthcare professionals, can use POCUS to enhance diagnostic and therapeutic capabilities. 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.

Eligibility criteria: Inclusion criteria:

1. Age 18 years or older
2. Admitted directly from emergency department

Exclusion criteria:

1. End-of-life care
2. Immediate need for life-support therapy or ICU transfer
3. Airborne isolation

Primary outcomes:
measure: Proportion of accurate diagnosis
timeFrame: At 48 hours after admission to medical wards
Secondary outcomes:
measure: Hospital mortality
timeFrame: Until death, hospital discharge or up to 28 days
measure: Rate of ICU transfer
timeFrame: Within 7 days after admission to medical wards
measure: Length of hospital stay
timeFrame: Until death, hospital discharge or up to 28 days
measure: Categories and numbers of invasive procedures
timeFrame: Within 7 days after admission to medical wards
measure: Categories and numbers of imaging studies
timeFrame: Within 7 days after admission to medical wards
Other outcomes:
Locations:
Study officials:
affiliation: National Taiwan University Hospital
name: Chun-Ta Huang, MD
role: PRINCIPAL_INVESTIGATOR
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