Validation of Epworth Richmond's Echocardiography Education Focused Year

NCT ID: NCT02961439

Last Updated: 2017-08-10

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 252 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2016-11-30
• Study Completion Date: 2017-05-01

Brief Summary

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care.

The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.

Conditions

Shock, Cardiogenic; Cardiac Tamponade; Pulmonary Embolism; Hypovolemia

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Study Groups

Patient Participants

Patient participants are adult patients in the Epworth Richmond Intensive care Unit. They are not the focus of the research but rather represent a general population of ICU patients that require echocardiography in the management of their critical illness. They will be a mix of medical and surgical patients some of whom are receiving mechanical ventilation, have movement restrictions, high BMI or other impediments to performing echocardiography.

No interventions assigned to this group

Registrar Participants

Registrar participants are doctors in training in ICU. They have completed a formal echo teaching program and completed a logbook of 30 supervised scans. They are the focus of the research and are being assessed on their diagnostic accuracy with echocardiography.

Epworth Richmond's Echocardiography Focused Year

Intervention Type: BEHAVIORAL

a year long echo teaching program

Interventions

Epworth Richmond's Echocardiography Focused Year

a year long echo teaching program

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• At least 12 month appointment in Epworth Richmond ICU
• Completion of theoretical component of Epworth Richmond ICU echocardiography program
• Completion of 30 echocardiography scans

Registrar Exclusion:

• Previous experience in echocardiography prior to commencing at Epworth Richmond.

Patient Inclusion

• Patient in ICU or CCU
• 18 years or older
• Not likely to be discharged before completion of the scan

Patient Exclusion

• Likely to be discharged within next two hours
• Atrial fibrillation
• Presence of subcostal or intercostal drains or pneumothorax
• Unable to be consented
• Treating intensivist deems inclusion in study not suitable.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Melbourne

OTHER

Sponsor Role: collaborator

Epworth Healthcare

OTHER

Sponsor Role: lead

Responsible Party

Kyle Brooks

Intensivist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Epworth Richmond

Melbourne, Victoria, Australia

Countries

Australia

References

Brooks KS, Tan LH, Rozen TH, Kelly D, McKenzie DP, Calafiore P, Barrett J. Validation of Epworth Richmond's Echocardiography Education Focused Year. Crit Care Med. 2020 Jan;48(1):e34-e39. doi: 10.1097/CCM.0000000000004076.

Reference Type: DERIVED

PMID: 31725442 (View on PubMed)

Other Identifiers

EH2016-133

Identifier Type: -

Identifier Source: org_study_id