Evidence map›Paper›PMID 27742624›Full record

Trial reportBMJ open2016

Focused ultrasound examination of the chest on patients admitted with acute signs of respiratory problems: a study protocol for a pragmatic randomised controlled multicentre trial.

M Riishede, C B Laursen, L S Teglbjærg, A T Lassen, G Baatrup

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02550184 (Ultrasonography in the Emergency Department. A Randomised Controlled Multicenter Study.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02550184 naunknown statusnot on this map

Ultrasonography in the Emergency Department. A Randomised Controlled Multicenter Study.

TypeinterventionalSponsorOdense University HospitalRan2015 to 2016Enrolled288ConditionsAcute Respiratory Failure, Chest PainArmsFocused ultrasonographic examination.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

M RiishedeDepartment of Surgery (A), Odense University Hospital, Svendborg, Denmark Institute of Clinical Research, University of Southern Denmark, SDU-Odense, Denmark Department of Internal Medicine & Emergency Medicine (M/FAM), Odense University Hospital, Svendborg, Denmark.
C B LaursenInstitute of Clinical Research, University of Southern Denmark, SDU-Odense, Denmark Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark.
L S TeglbjærgDepartment of Internal Medicine & Emergency Medicine (M/FAM), Odense University Hospital, Svendborg, Denmark.
A T LassenInstitute of Clinical Research, University of Southern Denmark, SDU-Odense, Denmark Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
G BaatrupDepartment of Surgery (A), Odense University Hospital, Svendborg, Denmark Institute of Clinical Research, University of Southern Denmark, SDU-Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with acute respiratory problems poses a diagnostic challenge because similar symptoms can be caused by various pathological conditions. Focused ultrasound examination (f-US) of the heart and lungs has proven to increase the diagnostic accuracy in these patients. In this protocol of a randomised multicentre trial, we study the effect of f-US of the heart and lungs in patients with respiratory problems performed by emergency physicians (EP) as soon as the patient arrives to the emergency department (ED). The primary outcome is the number of patients with a correct presumptive diagnosis at 4 hours from admission. METHODS AND ANALYSIS: This is a semiblinded randomised prospective study. 288 patients will be included and randomised into the control or intervention group. All patients receive a standard diagnostic evaluation by the EP to assess the primary presumptive diagnosis. Investigators are EP, with varying degrees of experience in f-US, who perform an f-US of the heart and lungs in patients in both treatment arms. f-US results in the intervention group are non-blinded to the treating EP to be included in the assessment of the 4-hour presumptive diagnosis. As standard for correct diagnosis, we perform a blinded journal audit after discharge. As primary analysis, we use the intention-to-treat analysis.

conclusionsThis study is the first multicentre trial in EDs to investigate whether f-US, in the hands of the EP, increases the proportion of correct diagnosis at 4 hours after arrival when performed on patients with respiratory problems. ETHICS AND DISSEMINATION: This trial is conducted in accordance with the Helsinki II Declaration and approved by the Danish Data Protection Agency and the Committee on Biomedical Research Ethics for the Region of Southern Denmark. Results will be published in accordance with the CONSORT statement in a peer-reviewed scientific journal regardless of the outcome. TRIAL REGISTRATION NUMBER: NCT02550184; Pre-results.

Indexed as

Research DesignUltrasonographyDenmarkEmergency Service, HospitalHeartHospitalizationHumansLungProspective StudiesThoraxACCIDENT & EMERGENCY MEDICINERESPIRATORY MEDICINE (see Thoracic Medicine)

Identifiers

PMID27742624
PMCPMC5073536

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.