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| Name | Class |
|---|---|
| Randers Regional Hospital | OTHER |
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Point-of-care ultrasound in patients with dyspnoea has been shown to alter patient treatment and the time to correct treatment when performed in emergency departments. In Denmark, physician-staffed ambulances are sent to citizens with severe ABCD symptoms including dyspnoea. Hence, there is a potential for correct diagnostics and appropriate treatment already in the citizens' own home or en route to the hospital. This study aims to evaluate the clinical performance of prehospital point-of-care ultrasound in patients with dyspnoea.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Point-of-care ultrasound | Diagnostic Test | Focused ultrasound of the heart, lungs and pleurae |
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity for diagnosing heart failure | Change in sensitivity for diagnosing heart failure when adding point-of-care ultrasound to the clinical examination | From initial citizen contact to end of ultrasound examination within 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity, clinical exam | Sensitivity of clinical examination for for diagnosing heart failure. Held up against a post-hoc expert panel statement. | From initial citizen contact and within a time-span of 15 minutes |
| Sensitivity, Ultrasound examination |
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Inclusion Criteria:
Exclusion Criteria:
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All citizens who have contacted the Acute Medical Coordination center in the Central Denmark Region for emergency medical treatment.
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| Name | Affiliation | Role |
|---|---|---|
| Morten Bøtker, MD, Phd | Prehospital of Central Denmark Region | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Præhospitalet | Aarhus | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36740691 | Derived | Gundersen EA, Juhl-Olsen P, Bach A, Rostgaard-Knudsen M, Nielsen BRR, Skaarup SH, Petersen HO, Fjolner J, Poulsen MGG, Botker MT. PrehospitaL Ultrasound in Undifferentiated DyspnEa (PreLUDE): a prospective, clinical, observational study. Scand J Trauma Resusc Emerg Med. 2023 Feb 5;31(1):6. doi: 10.1186/s13049-023-01070-4. |
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| ID | Term |
|---|---|
| D004417 | Dyspnea |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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Sensitivity of clinical examination supplemented with ultrasound scan for diagnosing heart failure. Held up against a post-hoc expert panel statement. |
| From initial citizen contact and within a time-span of 15 minutes |
| Treatment changes in medicine caused by ultrasound examination | Changes in medical treatment including diuretics, nitric oxide, bronkodilation and steroids caused by the addition of an ultrasound scan | From initial citizen contact and within a time-span of 15 minutes |
| Treatment changes in ventilation caused by ultrasound examination | Treatment changes ventilatory strategy including nasal cannula oxygen therapi, face mask or non-invasive positive pressure ventilation caused by the addition of an ultrasound scan | From initial citizen contact and within a time-span of 15 minutes |
| Triage changes caused by ultrasound examination | Change in the department or hospital that the patient is sent to as a cause of an ultrasound scan | From initial citizen contact and within a time-span of 60 minutes |
| D013568 | Pathological Conditions, Signs and Symptoms |