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| Name | Class |
|---|---|
| Masaryk Hospital Usti nad Labem | OTHER |
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Despite of preventive measures, the incidence of deep venous thrombosis (DVT) in ICU patients is estimated to range from 5-31%. While clinical diagnostics is unreliable, ultrasound compression test (UCT) has proven to be a highly sensitive and specific modality for the recognition of lower extremity DVT. Delegating this competence to ICU nurses can increase UCT availability and enable preventive DVT screening. Therefore, the investigators decided to conduct a clinical study to evaluate the sensitivity and specificity of UCT performed by general ICU nurse in ICU patients compared to an investigation by ICU physician certified in ultrasound. Prior to the study, each nurse-investigator participating in the study undergo one-hour training in UCT and examine 5 patients under supervision. Then, ICU patients without known DVT will be investigated by UCT in the femoral and popliteal region of both lower extremities by trained general ICU nurse-investigators. On the same day, the examination will be repeated by an ICU physician-investigator. The results of the examinations of each patient will be blinded to each other for both investigators until both tests are performed. The sensitivity and specificity of the test performed by general nurse will be calculated in comparison with the examination by a specialist.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compression ultrasound testing | Diagnostic Test | Compression ultrasound testing, screening technique for diagnosing deep venous thrombosis |
| Measure | Description | Time Frame |
|---|---|---|
| Validity of the compression ultrasound testing in the ICU patients performed by general nurses | Validity of testing performed by nurses will be compared with investigation by the physician, specialist for compression ultrasound testing | One day |
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Inclusion Criteria:
Exclusion Criteria:
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ICU patients
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| Name | Affiliation | Role |
|---|---|---|
| Roman Skulec, MD, PhD | Department of Anesthesiology, Perioperative Medicine and Intensive Care, J.E. Purkinje University, Masaryk Hospital Usti nad Labem, Usti nad Labem, Czech Republic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emergency Medical Service of the Central Bohemian Region | Beroun | Central Bohemia | Czechia |
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| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| ID | Term |
|---|---|
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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