Screening of Patients Admitted to a Local Hospital With Pocket-sized Ultrasound
Ultrasound (US) is widely used as a diagnostic tool in a hospital setting. In a medical department, diagnosis like heart failure or most kinds of heart diseases, hypervolemia, hypovolemia, pleural effusion, pericardial effusion, ascites, diseases in the gall bladder/bile tract, urine tract and venous thrombosis are common. US is the key diagnostic tool in these diagnosis, and on early diagnosis is crucial both on behalf of the patients well-being, and for hospital logistic reasons.
The aim is to study the clinical use of pocket sized US as a screening diagnostic tool in an department of internal medicine.
Method: All patients admitted (in certain preset periods) to Department of medicine will be screened with pocket sized US by expert user. Changes in diagnoses, as well as medications as a result of US screening will be the endpoints. US findings will be validated against standard echocardiography, or standard US/CT/MRI performed at the Radiological department.
The aim is to study the clinical use of pocket sized US as a screening diagnostic tool in a department of cardiology.
Method: All patients admitted (in certain preset periods) to Department of cardiology will be screened with pocket sized US for heart disease, pericardial and pleural effusion. Examinations by expert users. Specific findings could be myocardial dysfunction as heart failure, cardiomyopathies, regional dysfunction due to ischemia, valvular dysfunction, atrial enlargement, and pleural/pericardial effusion. Changes in diagnoses, as well as medications as a result of US screening will be the endpoints. US findings will be validated against standard echocardiography in all.
- As in 1), but examination by non-expert users compared to expert users.
Other: Ultrasound examination
|Study Design:||Time Perspective: Prospective|
|Official Title:||Screening With Pocket-sized Ultrasound of Patients Admitted to Department of Medicine at a Local Hospital|
- Diagnostic sensitivity and specificity [ Time Frame: After 3-6 months ] [ Designated as safety issue: No ]Diagnostic accuracy and clinical usefulness of ultrasound screening as add on examination. Change in working diagnosis after ultrasound examination will be tested, and gold standards (echocardiography and examinations at Department of radiology) will be used for testing of sensitivity and specificity.
- Non-experts [ Time Frame: After 3-6 months ] [ Designated as safety issue: No ]Validation of results from ultrasound examination made by non-experts compared to expert users.
Biospecimen Retention: Samples Without DNA
Serum blood samples including; hematology, electrolytes, creatinine, liver enzymes and cholestasis parametres, brain natriuretic peptides etc.
|Study Start Date:||March 2010|
|Study Completion Date:||October 2010|
|Primary Completion Date:||September 2010 (Final data collection date for primary outcome measure)|
Patients admitted to Department of medicine at local hospital. Randomized inclusion, informed consent obtained.
Other: Ultrasound examination
Screening with bedside ultrasound examination
Other Name: GE Vingmed VScan
|Department of Medicine, Levanger Hospital, Nord-Trøndelag Health Trust|
|Levanger, Norway, 7600|
|Levanger Hospital, Department of Medicine|
|Levanger, Norway, N-7600|
|Principal Investigator:||Havard Dalen, MD||Nord-Trøndelag Health Trust|