Fracture of Long Bones, Hepatic Colic or Cholecystitis, Intra-uterine Pregnancy or Extra-uterine Pregnancy or Miscarriage, Phlebitis, Pleural Effusion, Pneumonia, Renal Colic, Subcutaneous Abscess or Cyst
Conditions
Keywords
ultrasound scanner, sonogram, general practice
Brief summary
This is an interventional multi-centre study comparing two groups of general practitioners with or without an ultrasound scanner over a period of 6 months. The evaluation focuses on the management of patients for 8 pathologies: * Pneumonia * Pleural effusion * Renal colic * Hepatic colic or cholecystitis * Subcutaneous abscess or cyst * Fracture of long bones * Intra-uterine pregnancy or extra-uterine pregnancy or miscarriage * Phlebitis The principal hypothesis is that there are fewer complementary exams in the group of doctors using ultrasound scanners. The secondary hypotheses are: * There is better patient orientation (emergency care, specialist consultation, return home) in the group of doctors using the ultrasound scanners. * The global cost of the care is lower in the group of doctors using the ultrasound. * Using ultrasound during the consultation decreases the anxiety of the patient. * Using ultrasound increases the duration of the consultation. * There is no difference between the predicted and the real orientation of the patients.
Interventions
DIAGNOSTIC_TESTUltrasound scan
The group uses an ultrasound device for the consultation.
Sponsors
Hospices Civils de Lyon
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients age 18 and over * consulting their general practitioner for one of the 8 conditions below
Exclusion criteria
* patients who have already received an imagery exam for the acute episode justifying the consult * opposition to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of complementary exams | Two weeks after inclusion | Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know: * The number of imagery exams they had (ultrasound, MRI, scanner, radiology…) * The number of biological analysis (CRP, ASAT, ALAT, Lipase…) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of hospitalisations, specialist orientation or return home | Two weeks after inclusion | Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know if within the past two weeks, they have been hospitalised, required emergency care, needed to consult a specialist, or returned back home |
| Cost of care | Four weeks after inclusion in the study | After knowing the patient orientation and the complementary exams they had, an estimation of the cost of care is made. |
| Anxiety score measured by the State-Trait Anxiety Inventory (STAI-Y) scale | Two weeks after inclusion in the study | Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know the result of the anxiety test they took the day of the first consultation. |
| Consultation duration | Two weeks after inclusion in the study | The day of the first consultation, the general practitioner writes the time spent |
Countries
France
Outcome results
None listed