The Effects of Point-of-care Ultrasonography

The Effects of Point-of-care Ultrasonography on the Dıagnosıs Process of Patıents Who Admıtted to Emergency Department: Randomised-Controlled Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04429698

Enrollment

208

Registered

2020-06-12

Start date

2018-09-15

Completion date

2019-01-15

Last updated

2020-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chest Pain

Keywords

chest pain, POCUS, length of stay, emergency department

Brief summary

Background: When used with standard diagnostic testing, point-of-care ultrasonography (POCUS) might improve the proportion of patients admitted with chest pain (CP) who are correctly diagnosed, decrease length of stay (LOS) in emergency department (ED) and costs. We therefore assessed POCUS for the heart, lungs, aortic, hepatobiliary and deep vein in addition to the usual initial diagnostic testing in this patient population. Methods: In a prospective, randomised-controlled, parallel-group trial in the ED at Sakarya University Training and Research Hospital, Turkey, patients (≥18 years) with CP were randomly assigned in a 1:1 ratio to a standard diagnostic strategy (control group) or to standard diagnostic strategy supplemented with POCUS (POCUS group).

Interventions

DIAGNOSTIC_TESTPoint of care ultrasonography

Point-of-care Ultrasonography is an imaging method performed with ultrasound aid to facilitate rapid diagnosis and interventions during emergency intervention.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

DIAGNOSTIC

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients admitted to the emergency were included in this study if they had chest pain, or chest pain with back pain, neck and jaw pain, abdominal pain, arm pain and shortness of breath

Exclusion criteria

* permanent mental disability * age younger than 18 years * having chest trauma in the last 24 hours * to be pregnant * need for urgent angiography with ST elevation myocardial infarction * to be referred to the ED as a diagnosis of external center * failure to obtain complete patient information

Design outcomes

Primary

Measure	Time frame
Duration of hospitalization or discharge	6 months
Average costs during the diagnosis of patients.	6 months

Secondary

Measure	Time frame
The rate of change in the preliminary diagnosis of physician	6 months
The Hospitalization rate	6 months
The discharge rate	6 months

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026