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Feasibility and reliability of ultrasound in the inpatient hematology setting.
Acute chest syndrome (ACS) is a complication of sickle cell disease where individuals have symptoms of fever, low oxygen levels or difficulty breathing in the setting of a new lung finding on chest x-ray. Chest x-ray is a useful tool to identify it but has some side effects. The investigators think ultrasound will be an equally feasible, reliable tool and minimize some of the side effects associated with chest x-ray. Ultrasound is a non-invasive was to obtain an image that does not require radiation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound | Experimental | Ultrasound days 1, 3, and 5 of hospitalization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Point of Care Ultrasound | Device | Point of Care Ultrasound during hospitalization |
|
| Measure | Description | Time Frame |
|---|---|---|
| Participation rate | Percentage of patients who are approached for study who agree to be on study | Up to 5 days |
| Retention rate | Percentage of patients who remain on study | Up to 5 days |
| Duration of exam | Time taken to complete POCUS examination | Up to 5 days |
| Acceptability of POCUS by the medical team (physicians and nursing) | Acceptability measured using a 5-point Likert Scale (Strongly Agree to Strongly Disagree) regarding use of POCUS in inpatient setting. | Up to 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Reliability of point of care ultrasound (POCUS) compared to standard of care (Chest X-ray) | A positive screening of acute chest syndrome by POCUS is identification of either a lung consolidation or focal B-lines. POCUS findings will be compared to standard of care (Chest X-ray) findings to see if findings concur. | Up to 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thomas Fisher-Heath, DO | Contact | 317-944-8784 | tcfisher@iu.edu | |
| Anne Bubnick, BS | Contact | 317-948-0101 | abubnick@iu.edu |
| Name | Affiliation | Role |
|---|---|---|
| Seethal Jacob, MD | Indiana University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Indiana University | Recruiting | Indianapolis | Indiana | 46202 | United States |
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| ID | Term |
|---|---|
| D056586 | Acute Chest Syndrome |
| D000755 | Anemia, Sickle Cell |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
| D000745 | Anemia, Hemolytic, Congenital |
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| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006453 | Hemoglobinopathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |