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This research project aims to establish a real-time focused ultrasound examination protocol for routine assessment of hospitalized patients, including evaluations of the inferior vena cava (IVC), pericardial effusion, hydronephrosis, and ascites.
The primary objective is to investigate the clinical benefits of implementing a real-time focused ultrasound protocol for inpatients. These benefits include improved diagnostic accuracy, enhanced examination safety, better treatment outcomes, reduced length of hospital stay, and a comparison of hospitalization duration, ultimately leading to lower healthcare costs and reduced pressure on hospital resources. Through this study, we aim to gain a deeper understanding of the clinical value of this technology and provide a valuable assessment tool to improve the care and management of hospitalized patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Mean Length of Hospital Stay in Days | Length of hospital stay will be measured as the number of days from hospital admission to hospital discharge during the index hospitalization. The mean length of stay will be compared between patients with documented point-of-care ultrasound assessment and patients without documented point-of-care ultrasound assessment. | From admission to discharge during the index hospitalization, up to 90 days |
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Inclusion Criteria:
Hospitalized Patients Admitted to the Integrated Medicine Ward
Exclusion Criteria:
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Hospitalized Patients Admitted to the Integrated Medicine Ward
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | Taipei | 100 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28271386 | Result | Spevack R, Al Shukairi M, Jayaraman D, Dankoff J, Rudski L, Lipes J. Serial lung and IVC ultrasound in the assessment of congestive heart failure. Crit Ultrasound J. 2017 Dec;9(1):7. doi: 10.1186/s13089-017-0062-3. Epub 2017 Mar 7. | |
| 35306497 | Result | Koratala A, Ronco C, Kazory A. Multi-Organ Point-Of-Care Ultrasound in Acute Kidney Injury. Blood Purif. 2022;51(12):967-971. doi: 10.1159/000522652. Epub 2022 Mar 18. |
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| 33145532 | Result | Blaivas M, Adhikari S, Savitsky EA, Blaivas LN, Liu YT. Artificial intelligence versus expert: a comparison of rapid visual inferior vena cava collapsibility assessment between POCUS experts and a deep learning algorithm. J Am Coll Emerg Physicians Open. 2020 Jul 31;1(5):857-864. doi: 10.1002/emp2.12206. eCollection 2020 Oct. |
| 30719469 | Result | Alonso JV, Turpie J, Farhad I, Ruffino G. Protocols for Point-of-Care-Ultrasound (POCUS) in a Patient with Sepsis; An Algorithmic Approach. Bull Emerg Trauma. 2019 Jan;7(1):67-71. doi: 10.29252/beat-0701010. No abstract available. |
| 30356808 | Result | Abu-Zidan FM, Cevik AA. Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology: state of the art from basics to advanced. World J Emerg Surg. 2018 Oct 15;13:47. doi: 10.1186/s13017-018-0209-y. eCollection 2018. |
| 35696801 | Result | Alerhand S, Adrian RJ, Long B, Avila J. Pericardial tamponade: A comprehensive emergency medicine and echocardiography review. Am J Emerg Med. 2022 Aug;58:159-174. doi: 10.1016/j.ajem.2022.05.001. Epub 2022 May 6. |
| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D008103 | Liver Cirrhosis |
| D018805 | Sepsis |
| D011654 | Pulmonary Edema |
| D004487 | Edema |
| D051437 | Renal Insufficiency |
| D004417 | Dyspnea |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012816 | Signs and Symptoms |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D012120 | Respiration Disorders |
| D012818 | Signs and Symptoms, Respiratory |
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