Shock
Conditions
Keywords
Shock, emergency, undifferentiated, ultrasound
Brief summary
The aim of this study is to analyze in patients with undifferentiated shock, the concordance of initial treatment before and after Focus cardiac ultrasound (FoCUS) in comparison with the reference one established by an adjudication committee
Detailed description
Focus cardiac ultrasound (FoCUS) has already demonstrated its ability to reduce diagnosis uncertainty in patients with undifferentiated shock. However, adequacy of initial treatment has not been investigated. In patients with undifferentiated shock, after clinical evaluation, the physician states its hypothesis and initial treatment intention in closed list. He realizes a FoCUS, states another time the hypothesis and begins treatment according to FoCUS results. An adjudication committee with all the patient's file will state the reference hypothesis and treatment
Interventions
OTHERFocus cardiac ultrasound (FoCUS)
Sponsors
Nantes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Undifferentiated shock defined by systolic arterial pressure \< 90 mm Hg
Exclusion criteria
* hemorrhagic shock * cardiac arrest * anaphylactic shock * documented end-of-life
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| concordance of initial treatment after FoCUS with Kappa coefficient | Hospitalization duration, up to one month | concordance between initial treatment after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee with Kappa coefficient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| duration of FoCUS | Hospitalization duration, up to one month | concordance between initial diagnosis after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee |
| difficulty of FoCUS | Hospitalization duration, up to one month | concordance between initial diagnosis after clinical procedure, after FoCUS in comparison with the reference stated by the adjudication committee |
Countries
France
Outcome results
None listed