- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04478045
The Application of Point-of-care Ultrasonography in Differential Diagnosis of Shock in Emergency and Critical Care
August 16, 2022 updated by: National Taiwan University Hospital
For the emergency physicians and critical care specialists, how to quickly recognize shock from diverse clinical features and immediately treat shock patients to prevent progression to irreversible organ dysfunction from initially reversible shock condition are important issues and challenges.
In recent years, ultrasonography had been extensively used in clinical practice recently, and well-trained medical staffs can quickly and easily apply ultrasound to evaluate, examine, diagnose, and even treat the patients.
The clinical application of point-of-care ultrasound can help the first-line physicians rapidly evaluate and diagnose the main symptoms and signs of the patients at bedside, and further initially stabilize and appropriately treat the patients subsequently.
The aim of this program is to prospectively collection of the findings of point-of-care ultrasonography in shock patients at emergency room in NTUH.
The clinical manifestations, and followed up the examinations, treatments, and prognosis will also be collected.
The effect of bedside ultrasound on differential diagnosis and treatment of shock patients will be analyzed.
The results of the current study can provide the base for further clinical trials and set up of shock team.
Study Overview
Status
Completed
Detailed Description
Shock is defined as cellular and tissue hypoxia due to either reduced oxygen delivery, increased oxygen consumption, inadequate oxygen utilization, or a combination of these processes.
According to the etiology about how it causes a decrease in blood flow to the cells and tissue, there are four types of shock naming cardiogenic shock, hypovolemic shock, obstructive shock, and distributive shock, respectively.
The evaluation and management of shock patients is an extremely difficult challenge for the emergency physicians and critical care specialists.
How to diagnose, classify, stabilize, and treat the shock patients quickly and in time are the arduous tasks.
For the emergency physicians and critical care specialists, how to quickly recognize shock from diverse clinical features and immediately treat shock patients to prevent progression to irreversible organ dysfunction from initially reversible shock condition are important issues and challenges.
In recent years, ultrasound instruments have gradually developed with higher radiographic quality and lower cost.
Ultrasonography had been extensively used in clinical practice recently, and well-trained medical staffs can quickly and easily apply ultrasound to evaluate, examine, diagnose, and even treat the patients.
The clinical application of point-of-care ultrasound can help the firstline physicians rapidly evaluate and diagnose the main symptoms and signs of the patients at bedside, and further initially stabilize and appropriately treat the patients subsequently.
The aim of this program is to prospectively collection of the findings of point-of-care ultrasonography in shock patients at emergency room in NTUH.
The clinical manifestations, and followed up the examinations, treatments, and prognosis will also be collected.
The effect of bedside ultrasound on differential diagnosis and treatment of shock patients will be analyzed.
The results of the current study can provide the base for further clinical trials and set up of shock team.
Study Type
Observational
Enrollment (Actual)
278
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Taipei, Taiwan
- National Taiwan University Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
The adult, non-traumatic, non-DNR shock patients in the emergency room at NTUH are enrolled to our study.
The point-of-care ultrasound in shock patients is performed by well-trained medical staffs.
Description
Inclusion Criteria:
The shock patients in the emergency room at NTUH with one of the following conditions:
- A clinician evaluated patients were with insufficient or improper tissue
- Patients' systolic blood pressure < 90mmHg or mean arterial pressure < 65mmHg
- Patients' laboratory data showed lactic acid > 2.2 mmol/L
Exclusion Criteria:
- Age < 20 years
- Pregnancy
- Traumatic patients
- Patients with DNR(Do Not Resuscitate) status
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The correlation between application of bedside ultrasound and differential diagnosis in shock patients
Time Frame: 6 month
|
The effect of bedside ultrasound on differential diagnosis and treatment of shock patients.
|
6 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Min-Shan Tsai, PhD, National Taiwan University Medical College and Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
August 1, 2020
Primary Completion (ACTUAL)
July 31, 2022
Study Completion (ACTUAL)
July 31, 2022
Study Registration Dates
First Submitted
July 15, 2020
First Submitted That Met QC Criteria
July 15, 2020
First Posted (ACTUAL)
July 20, 2020
Study Record Updates
Last Update Posted (ACTUAL)
August 18, 2022
Last Update Submitted That Met QC Criteria
August 16, 2022
Last Verified
August 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 202005121RINB
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Ramathibodi HospitalUnknownSeptic Shock | Refractory ShockThailand
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National Institute of Allergy and Infectious Diseases...Completed
-
Assiut UniversityUnknown