Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
NCT ID: NCT06529315
Last Updated: 2025-11-19
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
NA
144 participants
INTERVENTIONAL
2024-08-01
2024-12-17
Brief Summary
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Detailed Description
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POCUS has proven particularly effective in critical care and emergency settings. However, its application in general medical wards, where patients often present with multiple comorbidities, remains under-researched. The potential value of POCUS in these wards is notable, as it can facilitate early complication detection and timely treatment adjustments, reducing complication incidences.
Additionally, the feasibility of nurse practitioners (NPs) performing POCUS is promising. NPs, as frontline healthcare professionals, can use POCUS to enhance diagnostic and therapeutic capabilities. Despite limited research on POCUS by less experienced operators, NP-conducted POCUS could provide timely, high-quality care, especially in situations with limited physician availability. The routine use of POCUS in patient admissions to medical wards may improve diagnostic accuracy, reduce diagnostic resource utilization, and shorten hospital stays.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
SINGLE
Study Groups
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Group PoCUS
Participants assigned to Group PoCUS will undergo point-of-care ultrasound evaluations by nurse practitioners/physicians within their first 24 hours of admission to the general ward.
Point-of-Care Ultrasound
The investigators will use point-of-care ultrasound to exam participants including lungs, heart, liver, spleen, kidney and bladder, etc.
Group Usual Care
Participants assigned to Group Usual Care will receive usual standard care.
No interventions assigned to this group
Interventions
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Point-of-Care Ultrasound
The investigators will use point-of-care ultrasound to exam participants including lungs, heart, liver, spleen, kidney and bladder, etc.
Eligibility Criteria
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Inclusion Criteria
2. Admitted directly from emergency department
Exclusion Criteria
2. Immediate need for life-support therapy or ICU transfer
3. Airborne isolation
18 Years
120 Years
ALL
No
Sponsors
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National Taiwan University Hospital
OTHER
Responsible Party
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National Taiwan University Clinical Trial Center
Clinical Associate Professor
Principal Investigators
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Chun-Ta Huang, MD
Role: PRINCIPAL_INVESTIGATOR
National Taiwan University Hospital
Locations
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National Taiwan University Hospital
Taipei, , Taiwan
Countries
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References
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Zieleskiewicz L, Lopez A, Hraiech S, Baumstarck K, Pastene B, Di Bisceglie M, Coiffard B, Duclos G, Boussuges A, Bobbia X, Einav S, Papazian L, Leone M. Bedside POCUS during ward emergencies is associated with improved diagnosis and outcome: an observational, prospective, controlled study. Crit Care. 2021 Jan 22;25(1):34. doi: 10.1186/s13054-021-03466-z.
Ben-Baruch Golan Y, Sadeh R, Mizrakli Y, Shafat T, Sagy I, Slutsky T, Kobal SL, Novack V, Fuchs L. Early Point-of-Care Ultrasound Assessment for Medical Patients Reduces Time to Appropriate Treatment: A Pilot Randomized Controlled Trial. Ultrasound Med Biol. 2020 Aug;46(8):1908-1915. doi: 10.1016/j.ultrasmedbio.2020.03.023. Epub 2020 May 16.
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Mozzini C, Di Dio Perna M, Pesce G, Garbin U, Fratta Pasini AM, Ticinesi A, Nouvenne A, Meschi T, Casadei A, Soresi M, Cominacini L. Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time. Intern Emerg Med. 2018 Jan;13(1):27-33. doi: 10.1007/s11739-017-1738-1. Epub 2017 Aug 12.
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Yamada T, Ehara J, Funakoshi H, Endo K, Kitano Y. Effectiveness of point of care ultrasound (POCUS) simulation course and skills retention for Japanese nurse practitioners. BMC Nurs. 2023 Jan 23;22(1):21. doi: 10.1186/s12912-023-01183-2.
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Lee SH, Yun SJ. Diagnostic performance of emergency physician-performed point-of-care ultrasonography for acute appendicitis: A meta-analysis. Am J Emerg Med. 2019 Apr;37(4):696-705. doi: 10.1016/j.ajem.2018.07.025. Epub 2018 Jul 14.
Other Identifiers
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202405109RINA
Identifier Type: -
Identifier Source: org_study_id
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