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Role of Early Point of Care Ultrasound in Management of Sepsis in Emergency Department

Role of Early Point of Care Ultrasound in Management of Sepsis in Emergency Department

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05849194
Enrollment
200
Registered
2023-05-08
Start date
2023-08-01
Completion date
2024-07-31
Last updated
2024-08-02

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

Conditions

Sepsis

Keywords

Point of care ultrasound, Sepsis, Emergency department

Brief summary

Aim of the study is to determine the diagnostic accuracy of point-of-care ultrasound and to determine its role in sepsis management .

Detailed description

Two groups of patients will be studied one group will undergo POCUS examination and the other will not undergo POCUS examination then comparison between them will be done regarding accuracy of diagnosis and time taken to reach diagnosis.

Interventions

DIAGNOSTIC_TESTPOCUS examination

Point of care ultrasound examination

Sponsors

Alexandria University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to 100 Years
Healthy volunteers
No

Inclusion criteria

* Adult patients admitted to the Emergency Department (ED) of Alexandria Main University Hospital (AMUH) with sepsis. * Patients presented with septic shock.

Exclusion criteria

* Age less than 18 * Trauma patients. * Pregnant females. * Patients with terminal malignancy. * Patients taking immunosuppressive drugs or chemotherapy.

Design outcomes

Primary

MeasureTime frameDescription
Diagnostic accuracy of POCUS approach compared with the definitive diagnosis.8 monthsThe study will include two groups of patients, POCUS group that will undergo point of care ultrasound (POCUS)examination in addition to clinical evaluation and laboratory investigations and control group that will not undergo POCUS examination but only undergo clinical evaluation and laboratory investigations. Both groups will be compared regarding proportion of accurate diagnosis (at emergency department)in relation to the final diagnosis that will be obtained after patient undergo further imaging techniques to search for sepsis such as chest X-ray or CT to look for chest infection and CT abdomen to confirm intra-abdominal sepsis. Unlike trauma, dyspnea and shock up till now there is no validated POCUS protocol to evaluate patients with sepsis.

Secondary

MeasureTime frameDescription
Time taken to reach diagnosis in both groups8 monthsEvaluation of the difference between two groups regarding time taken to reach diagnosis

Countries

Egypt

Outcome results

None listed

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