COVID-19, Pneumonia, Viral, Pulmonary Infection
Conditions
Keywords
Ultrasonography, Norway, Emergency Department, Emergency Physicians
Brief summary
In light of the ongoing COVID-19 epidemic in Norway, it is paramount to develop and utilize clinical tools for assessing and risk stratifying patients with suspected coronary infection in the emergency departments. Diagnostic use of ultrasound in viral pneumonias, including COVID-19 has proved to be very useful. The use of ultrasound will assist in quick detection of lung pathology compatible with increasing severity of the COVID-19 disease. At the same time, the use of ultrasound diagnostics in the emergency department could improve logistics and reduce potential exposure of the corona virus to other health personnel. The purpose of the study is to assess whether ultrasound findings correlates with physical examination, labs, and other imaging diagnostics in patients with suspected or diagnosed COVID-19 disease, as well as assessing whether ultrasound diagnostics can assist in risk stratification. The project is conducted as a prospective multicenter study where ultrasound diagnostics will be performed on patients with suspected coronary infection in the emergency departments. Data collection takes place as part of the daily clinical evaluation of acute patients in the emergency departments. The project is planned to be completed towards the end of 2025.
Interventions
After verbal consent the enrolled patients' lungs are evaluated with ultrasound while in isolation. The lungs are divided into 3 fields and findings are categorized according to Soldati et al., 2020.
Sponsors
Study design
Eligibility
Inclusion criteria
\- All emergency department patients with suspected or diagnosed COVID-19.
Exclusion criteria
* Negative screening for COVID-19 * recent negative COVID-19 test * no indication for isolation in the Emergency Department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level-of-care | up to 7 days | In-hospital treatment level, e.g. discharge from ED, observational unit, ward, ICU. |
| Mortality | up to 30 days | 30-day mortality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxygen usage in the emergency department | Within 24 hours | — |
| Antibiotics usage | Within 24 hours | — |
| Emergency department length of stay | Within 24 hours | in hours |
| In-hospital length of stay | Up to 30 days | in days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Clinical correlation | Within 3 days | Clinical correlation between ultrasound findings and vital signs, labs, blood gas and other diagnostic modalities. |
Countries
Norway