Focused Lung Ultrasound: A Prospective Cohort Study in General Practice
NCT ID: NCT04711031
Last Updated: 2023-12-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
91 participants
OBSERVATIONAL
2021-03-01
2022-06-05
Brief Summary
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Ten general practitioners (GPs) will perform FLUS in addition to their usual care of adults presenting with symptoms of an acute LRTI where the GP suspects a community-acquired pneumonia (CAP). Eligible patients will consecutively be invited to participate during a two months' study period until each GP has included a total of ten patients. The GPs will register information about patients including age, gender, symptoms, clinical findings, results of any point-of-care test performed, if antibiotic treatment was prescribed and they will register information on FLUS performance and findings.
Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Usual care + FLUS
At index consultation, patients will receive a FLUS examination in addition to the GP's usual care of adults presenting with symptoms of an acute LRTI.
FLUS
The participating GPs use ultrasonography on a weekly basis and will use the ultrasonography device already available to them; however, the ultrasound machine system and type of transducer will be reported. The GPs will use a 14-zone FLUS scanning protocol that has previously been validated in a general practice setting. Each of the scanning zones on the patient's left side can be denoted from 1L to 7L and from 1R to 7R on the right side. Each scanning zone should be assessed using FLUS. The transducer is placed in the middle of a scanning zone making a cross sectional image of an intercostal space and the underlying pleura blades. The patients will be examined in an upright position. The GPs will be trained in the 14-zone scanning protocol during a FLUS training program prior to recruitment of patients. FLUS pathological findings are predefined, and the variables will be dichotomized into present or not present for each scanning zone.
Interventions
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FLUS
The participating GPs use ultrasonography on a weekly basis and will use the ultrasonography device already available to them; however, the ultrasound machine system and type of transducer will be reported. The GPs will use a 14-zone FLUS scanning protocol that has previously been validated in a general practice setting. Each of the scanning zones on the patient's left side can be denoted from 1L to 7L and from 1R to 7R on the right side. Each scanning zone should be assessed using FLUS. The transducer is placed in the middle of a scanning zone making a cross sectional image of an intercostal space and the underlying pleura blades. The patients will be examined in an upright position. The GPs will be trained in the 14-zone scanning protocol during a FLUS training program prior to recruitment of patients. FLUS pathological findings are predefined, and the variables will be dichotomized into present or not present for each scanning zone.
Eligibility Criteria
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Inclusion Criteria
Patients aged ≥ 18 years with acute cough (\< 28 days) and at least one other symptom of an acute LRTI and where the GP suspects CAP.
Exclusion Criteria
* Patients not listed with the GP (no medical record available).
* The patient is not capable of understanding and signing informed consent.
* The patient does not wish to participate in the study.
18 Years
ALL
No
Sponsors
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Aalborg University
OTHER
Responsible Party
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Julie Jepsen Strøm
MD, PhD Student
Principal Investigators
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Julie J Strøm, MD
Role: PRINCIPAL_INVESTIGATOR
Aalborg University
Locations
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Center for General Practice at Aalborg University
Aalborg, , Denmark
Countries
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References
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Strom JJ, Andersen CA, Jensen MB, Thomsen JL, Laursen CB, Skaarup SH, Schultz HHL, Hansen MP. Evaluating general practitioners' focused lung ultrasound competence and findings in patients with suspected community-acquired pneumonia in general practice. Scand J Prim Health Care. 2025 Jun;43(2):359-369. doi: 10.1080/02813432.2024.2447083. Epub 2024 Dec 30.
Other Identifiers
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194-1
Identifier Type: -
Identifier Source: org_study_id