Not available
ACTRN12626000270314
Government body, Department of Health, Disability and Ageing - MRFF 2023 Clinical Trials Activity Stream 2
Ximena Cid Serra
A multicentre, randomised parallel group, open superiority trial. 900 patients 65 years old or older admitted to the general medicine ward with a primary presentation of dyspnoea will be allocated in a 1:1 ratio to receive a) usual care or b) usual care and POCUS of the heart, lungs and proximal lower limb veins, performed within 24 hours of ward admission. The main outcome assessed in length of hospital stay. Secondary outcomes include dyspnoea improvement, mortality and major adverse cardiovas .... Read more
Adults aged 65 years or older who are admitted to the internal medicine ward where the primary symptom leading to admission is dyspnoea regardless of the initial medical diagnosis (e.g decompensated heart failure, pneumonia, asthma)
Exclusion criteria include having a computed tomography chest or CT pulmonary angiogram, point of care ultrasound performed by emergency physicians, being admitted to the ward more than 24 hours ago, or where death is expected within 48-hour.
No
Sample Size 900
Min. age 65 Years
Max. age No limit
Sex Both males and females
Condition category dyspnoea , heart failure , acute respiratory failure , chronic obstructive pulmonary disease
Condition code Cardiovascular , Respiratory
Intervention code Diagnosis / Prognosis , Treatment: Other
Point of care ultrasound of the heart, lungs, and proximal lower limb veins will be performed once by a physician within the first 24 hours of hospital admission. The examination takes approximately 15 minutes on average and involves the use of a portable ultrasound machine with acoustic gel. The ultrasound transducer is placed over the patient’s chest, posterior thorax, and proximal lower limbs to obtain the required views. A structured report of the examination will be collected to assess adhe .... Read more
Control group Active
Usual care, for the purposes of this trial, is defined as standard clinical assessment performed by the treating team, including medical history, physical examination, laboratory investigations, and formal imaging studies requested through the Department of Radiology or the Echocardiography Laboratory. Usual care does not include point-of-care ultrasound.
Outcome: Length of hospital stayTimepoint: At hospital discharge
Yes
Researchers
Yes, conditions apply
Requires review on a case-by-case basis by the trial custodian, sponsor or data sharing committee
Requires a scientifically sound proposal or protocol
Requires approval by an ethics committee
Requires a data sharing agreement between data requester and trial custodian or sponsor
De-identified individual participant data
Primary outcome(s)
Systematic reviews and meta-analyses
Health economic analyses
No
From: After publication of main results
To: Not yet decided
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