Evidence map›Paper›PMID 31915052›Full record

ArticleTrials2020

Impact of point-of-care ultrasound on the hospital length of stay for internal medicine inpatients with cardiopulmonary diagnosis at admission: study protocol of a randomized controlled trial-the IMFCU-1 (Internal Medicine Focused Clinical Ultrasound) study.

Ximena Cid, David Canty, Alistair Royse, Andrea B Maier, Douglas Johnson, Doa El-Ansary, Sandy Clarke-Errey, Timothy Fazio, Colin Royse

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 23 citations in OpenAlex.

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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

9 authors at 3 institutions in 3 countries.

Ximena CidDepartment of Surgery, University of Melbourne, Melbourne, VIC, Australia. anaite.cid@gmail.com.
David CantyDepartment of Surgery, University of Melbourne, Melbourne, VIC, Australia.
Alistair RoyseDepartment of Surgery, University of Melbourne, Melbourne, VIC, Australia.
Andrea B MaierDepartment of Medicine and Community Care, Royal Melbourne Hospital, Parkville, VIC, Australia.
Douglas JohnsonDepartment of Medicine and Community Care, Royal Melbourne Hospital, Parkville, VIC, Australia.
Doa El-AnsaryDepartment of Surgery, University of Melbourne, Melbourne, VIC, Australia.
Sandy Clarke-ErreyStatistical Consulting Centre, University of Melbourne, Parkville, VIC, Australia.
Timothy FazioBusiness Intelligence Unit, Melbourne Health, Parkville, VIC, Australia.
Colin RoyseDepartment of Surgery, University of Melbourne, Melbourne, VIC, Australia.
The Royal Melbourne Hospital · AUUniversity of Melbourne · AUMelbourne Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint-of-care ultrasound (POCUS) is emerging as a reliable and valid clinical tool that impacts diagnosis and clinical decision-making as well as timely intervention for optimal patient management. This makes its utility in patients admitted to internal medicine wards attractive. However, there is still an evidence gap in all the medical setting of how its use affects clinical variables such as length of stay, morbidity, and mortality. METHODS/

designA prospective randomized controlled trial assessing the effect of a surface POCUS of the heart, lungs, and femoral and popliteal veins performed by an internal medicine physician during the first 24 h of patient admission to the unit with a presumptive cardiopulmonary diagnosis. The University of Melbourne iHeartScan, iLungScan, and two-point venous compression protocols are followed to identify left and right ventricular function, significant valvular heart disease, pericardial and pleural effusion, consolidation, pulmonary edema, pneumothorax, and proximal deep venous thrombosis. Patient management is not commanded by the protocol and is at the discretion of the treating team. A total of 250 patients will be recruited at one tertiary hospital. Participants are randomized to receive POCUS or no POCUS. The primary outcome measured will be hospital length of stay. Secondary outcomes include the change in diagnosis and management, 30-day hospital readmission, and healthcare costs. DISCUSSION: This study will evaluate the clinical impact of multi-organ POCUS in internal medicine patients admitted with cardiopulmonary diagnosis on the hospital length of stay. Recruitment of participants commenced in September 2018 and is estimated to be completed by March 2020.

trial registrationAustralian and New Zealand Clinical Trial Registry, ACTRN12618001442291. Registered on 28 August 2018.

Indexed as

Point-of-Care SystemsAdolescentAdultClinical Decision-MakingEquivalence Trials as TopicFemaleFemoral VeinHeartHeart DiseasesHumansLength of StayLungLung DiseasesMalePopliteal VeinProspective StudiesEchocardiographyFocused assessment sonographyInternal medicineLung ultrasoundRandomized controlled trial

Identifiers

PMID31915052
PMCPMC6951003
OpenAlexW2999527396

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.