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The aim of this study is to analyze in patients with undifferentiated shock, the concordance of initial treatment before and after Focus cardiac ultrasound (FoCUS) in comparison with the reference one established by an adjudication committee
Focus cardiac ultrasound (FoCUS) has already demonstrated its ability to reduce diagnosis uncertainty in patients with undifferentiated shock. However, adequacy of initial treatment has not been investigated.
In patients with undifferentiated shock, after clinical evaluation, the physician states its hypothesis and initial treatment intention in closed list. He realizes a FoCUS, states another time the hypothesis and begins treatment according to FoCUS results. An adjudication committee with all the patient's file will state the reference hypothesis and treatment
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focus cardiac ultrasound (FoCUS) | Other |
| Measure | Description | Time Frame |
|---|---|---|
| concordance of initial treatment after FoCUS with Kappa coefficient | concordance between initial treatment after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee with Kappa coefficient | Hospitalization duration, up to one month |
| Measure | Description | Time Frame |
|---|---|---|
| duration of FoCUS | concordance between initial diagnosis after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee | Hospitalization duration, up to one month |
| difficulty of FoCUS |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with undifferentiated shock in the Emergency Department
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nantes University Hospital | Recruiting | Nantes | 44093 | France |
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| ID | Term |
|---|---|
| D012769 | Shock |
| D004630 | Emergencies |
| D012734 | Disorders of Sex Development |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
| D014564 | Urogenital Abnormalities |
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concordance between initial diagnosis after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee
| Hospitalization duration, up to one month |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |