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lack of Covid-19 patients
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| Name | Class |
|---|---|
| Haukeland University Hospital | OTHER |
| Ullevaal University Hospital | OTHER |
| Nordlandssykehuset HF | OTHER |
| Sorlandet Hospital HF |
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In light of the ongoing COVID-19 epidemic in Norway, it is paramount to develop and utilize clinical tools for assessing and risk stratifying patients with suspected coronary infection in the emergency departments. Diagnostic use of ultrasound in viral pneumonias, including COVID-19 has proved to be very useful. The use of ultrasound will assist in quick detection of lung pathology compatible with increasing severity of the COVID-19 disease. At the same time, the use of ultrasound diagnostics in the emergency department could improve logistics and reduce potential exposure of the corona virus to other health personnel.
The purpose of the study is to assess whether ultrasound findings correlates with physical examination, labs, and other imaging diagnostics in patients with suspected or diagnosed COVID-19 disease, as well as assessing whether ultrasound diagnostics can assist in risk stratification. The project is conducted as a prospective multicenter study where ultrasound diagnostics will be performed on patients with suspected coronary infection in the emergency departments. Data collection takes place as part of the daily clinical evaluation of acute patients in the emergency departments. The project is planned to be completed towards the end of 2025.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Covid-19 suspected | Emergency department patients with suspected or diagnosed COVID-19 disease. All patients will be screened at triage and put into isolation if suspected disease. Ultrasound of the patients lungs will be performed after patient consent and findings will be recorded and categorized (Soldati et al., 2020). The use of ultrasound and registration of data will not affect the regular patient evaluation, treatment or logistics. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lung ultrasound | Diagnostic Test | After verbal consent the enrolled patients' lungs are evaluated with ultrasound while in isolation. The lungs are divided into 3 fields and findings are categorized according to Soldati et al., 2020. |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 30-day mortality | up to 30 days |
| Level-of-care | In-hospital treatment level, e.g. discharge from ED, observational unit, ward, ICU. | up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital length of stay | in days | Up to 30 days |
| Oxygen usage in the emergency department | Within 24 hours | |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical correlation | Clinical correlation between ultrasound findings and vital signs, labs, blood gas and other diagnostic modalities. | Within 3 days |
Inclusion Criteria:
- All emergency department patients with suspected or diagnosed COVID-19.
Exclusion Criteria:
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Pasients referred to the ED with signs and symptoms suspected of COVID-19 (including cough, dyspnea, fever), patient already diagnosed with COVID-19, and patients with risk of being in contact with corona virus will be eligible for study enrollment.
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| Name | Affiliation | Role |
|---|---|---|
| Lars Petter Bjørnsen, MD, PhD | NTNU/St. Olav's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Haukeland universitetssykehus | Bergen | Norway | ||||
| Nordland Hospital |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D011024 | Pneumonia, Viral |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
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| OTHER_GOV |
| Drammen sykehus | OTHER |
| Sykehuset Telemark | OTHER_GOV |
| Helse Stavanger HF | OTHER_GOV |
| University Hospital, Akershus | OTHER |
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Blood
|
| Emergency department length of stay |
in hours |
| Within 24 hours |
| Antibiotics usage | Within 24 hours |
| Bodø |
| Norway |
| Drammen sykehus | Drammen | Norway |
| Sørlandet sykehus, Kristiansand | Kristiansand | Norway |
| Akershus University Hospital | Oslo | Norway |
| Ullevål University Hospital | Oslo | Norway |
| Sykehuset Telemark HF | Skien | Norway |
| Stavanger Universitetssjukehus | Stavanger | Norway |
| St Olavs Hospital | Trondheim | Norway |
| D018352 |
| Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |