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| ID | Type | Description | Link |
|---|---|---|---|
| HD_2009_LU13 | Other Identifier | Nord-Trøndelag Health Trust |
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| Name | Class |
|---|---|
| Norwegian University of Science and Technology | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound screening | Patients admitted to Department of medicine at local hospital. Randomized inclusion, informed consent obtained. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound examination | Other | Screening with bedside ultrasound examination |
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| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Non-experts | Validation of results from ultrasound examination made by non-experts compared to expert users. | After 3-6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to Dep. of Medicine at Levanger Hospital Randomized study. Both sexes. Age above 16 years
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| Name | Affiliation | Role |
|---|---|---|
| Havard Dalen, MD | Nord-Trøndelag Health Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Medicine, Levanger Hospital, Nord-Trøndelag Health Trust | Levanger | 7600 | Norway | |||
| Levanger Hospital, Department of Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17631091 | Background | Kimura BJ, Shaw DJ, Agan DL, Amundson SA, Ping AC, DeMaria AN. Value of a cardiovascular limited ultrasound examination using a hand-carried ultrasound device on clinical management in an outpatient medical clinic. Am J Cardiol. 2007 Jul 15;100(2):321-5. doi: 10.1016/j.amjcard.2007.02.104. Epub 2007 May 29. | |
| 15522567 | Background |
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D004417 | Dyspnea |
| D001018 | Aortic Diseases |
| D007674 | Kidney Diseases |
| D008107 | Liver Diseases |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
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Serum blood samples including; hematology, electrolytes, creatinine, liver enzymes and cholestasis parametres, brain natriuretic peptides etc.
| Levanger |
| N-7600 |
| Norway |
| Roelandt JR. Ultrasound stethoscopy. Eur J Intern Med. 2004 Oct;15(6):337-347. doi: 10.1016/j.ejim.2004.08.002. |
| 17446784 | Background | Beaulieu Y. Bedside echocardiography in the assessment of the critically ill. Crit Care Med. 2007 May;35(5 Suppl):S235-49. doi: 10.1097/01.CCM.0000260673.66681.AF. |
| 19670355 | Background | Lucas BP, Candotti C, Margeta B, Evans AT, Mba B, Baru J, Asbury JK, Asmar A, Kumapley R, Patel M, Borkowsky S, Fung S, Charles-Damte M. Diagnostic accuracy of hospitalist-performed hand-carried ultrasound echocardiography after a brief training program. J Hosp Med. 2009 Jul;4(6):340-9. doi: 10.1002/jhm.438. |
| 19114170 | Background | Martin LD, Howell EE, Ziegelstein RC, Martire C, Whiting-O'Keefe QE, Shapiro EP, Hellmann DB. Hand-carried ultrasound performed by hospitalists: does it improve the cardiac physical examination? Am J Med. 2009 Jan;122(1):35-41. doi: 10.1016/j.amjmed.2008.07.022. |
| 21810825 | Derived | Andersen GN, Haugen BO, Graven T, Salvesen O, Mjolstad OC, Dalen H. Feasibility and reliability of point-of-care pocket-sized echocardiography. Eur J Echocardiogr. 2011 Sep;12(9):665-70. doi: 10.1093/ejechocard/jer108. Epub 2011 Aug 2. |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D004066 | Digestive System Diseases |