Usefulness of an Ultraportative Ultrasound Device in the Management of Intra Hospital Emergencies

Estimate if the use of a portable cardiac echograph for intra-hospital Emergencie improves the performances diagnose in the bed of patient in department of conventional medicine.

The concordance between the initial medical diagnosis (previous the utilsation of portable echograph) and the final diagnosis (after portable echograph utisation) will be evaluated. These evaluation will be performed after retrospective review of the medical files

Study Overview

• Status: Completed
• Conditions: Respiratory Failure; Failure; Cardiac
• Intervention / Treatment: Device: echography

• Study Type: Observational
• Enrollment (Actual): 172

Contacts and Locations

Study Locations

• France
  • Marseille, France, 13015
    • Departement anesthesie reanimation hopital nord

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patient suffering of respiratory or cardiac distress

Description

Inclusion Criteria:

• respiratory or cardiac distress

Exclusion Criteria:

• pulmonary or cardiac patient transplant morphologic abnormalities Patient in rescucitation care unit

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
final diagnosis after portable echography; Experimental group: final diagnosis after portable cardiac echograph examination	Device: echography; cardiac and pulmonary echography
final diagnosis without portable echography; Group control: Final diagnosis for patient ( same medical condition and history) hospitalized in units without portable cardiac echograph examination avaible

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Concordance between initial medecial diagnosis and final diagnosis	Concordance between the initial medical diagnosis at the bedside in ward and the definitive diagnosis after retrospective review of the medical files between two groups : one with an ultraportative echograph (POCUS group) and a control (without ultraportative group). The percentage of adequate initiale diagnosis at the bedside.	1 day

Collaborators and Investigators

• Sponsor: Hospital Nord
• Investigators: Principal Investigator: Marc Leone, MD, DAR Nord

Publications and helpful links

General Publications

• Zieleskiewicz L, Lopez A, Hraiech S, Baumstarck K, Pastene B, Di Bisceglie M, Coiffard B, Duclos G, Boussuges A, Bobbia X, Einav S, Papazian L, Leone M. Bedside POCUS during ward emergencies is associated with improved diagnosis and outcome: an observational, prospective, controlled study. Crit Care. 2021 Jan 22;25(1):34. doi: 10.1186/s13054-021-03466-z.

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2016
• Primary Completion (Actual): November 1, 2018
• Study Completion (Actual): September 1, 2019

Study Registration Dates

• First Submitted: November 14, 2016
• First Submitted That Met QC Criteria: November 16, 2016
• First Posted (Estimate): November 18, 2016

Study Record Updates

• Last Update Posted (Actual): April 27, 2020
• Last Update Submitted That Met QC Criteria: April 22, 2020
• Last Verified: April 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Respiratory Tract Diseases; Respiration Disorders; Disease Attributes; Emergencies; Respiratory Insufficiency
• Other Study ID Numbers: 00010254 --- 2016 --- 122

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No