Point of Care Ultrasound (US) Versus Detailed Radiology US for Deep Vein Thrombosis (DVT)
Recruitment status was Recruiting
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Purpose
Deep vein thrombosis is a common problem in the intensive care unit and diagnosis is often delayed due to limited availability of a formal duplex ultrasound. Physician performed 2 point compression ultrasonography has been shown to have reasonable accuracy when performed in the emergency department and outpatient setting, but has not been studied on patients in the intensive care unit. We propose an observational study to assess the ability of intensivists to evaluate for deep vein thrombosis using 2 point compression ultrasonography.
| Condition |
|---|
|
Deep Vein Thrombosis |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Intensivist Performed Limited B Mode Compression Ultrasound for Diagnosis of Deep Vein Thrombosis in the Intensive Care Unit |
- The agreement between physician performed ultrasound and formal duplex ultrasonography for detection of proximal deep vein thrombosis. [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: location of thrombus (proximal or distal) [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: number of days in the hospital prior to exam [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: body mass index (BMI) [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: weight gain from admission to the time of the exam [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: training level of examiner [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: difficulty of exam [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: specific examiner [ Time Frame: 48 hours window from detailed US ] [ Designated as safety issue: No ]
- Subgroup analysis: presence or absence of calf vein thrombosis [ Time Frame: at study conclusion ] [ Designated as safety issue: No ]
- Subgroup analysis: presence or absence of pulmonary embolism [ Time Frame: at study conclusion ] [ Designated as safety issue: No ]
- Subgroup analysis: DVT location [ Time Frame: at study conclusion ] [ Designated as safety issue: No ]
- Subgroup analysis: calf vein thrombosis [ Time Frame: at study conclusion ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | November 2009 |
| Estimated Study Completion Date: | January 2011 |
| Estimated Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
The study population will consist of adult patients admitted to the intensive care units at University hospital who have a duplex ultrasound of the lower extremities for detection of deep vein thrombosis ordered by the primary team.
Inclusion Criteria:
- Male and female adults at least 18 years of age
- Duplex ultrasonography ordered by treating team
- Admission to the Medical, Cardiac, Burn, or Surgical intensive care units
Exclusion Criteria:
- Patients less than 18 years of age
- Patients with a known current DVT
- patients on whom the exam cannot be performed (above the knee amputation, severe cellulitis of groin or popliteal fossa, hip or knee fracture)
Contacts and Locations| Contact: OUSAMA DABBAGH, MD FCCP | 573 882 0808 | dabbagho@health.missouri.edu |
| Contact: Casey Stahlheber, MD | 573 882 0808 | stahlheberc@health.missouri.edu |
| United States, Missouri | |
| University of missouri healthcare | Recruiting |
| Columbia, Missouri, United States, 65212 | |
| Contact: DABBAGH, MD dabbagho@health.missouri.edu | |
More Information
No publications provided
| Responsible Party: | Casey Stahlheber MD and Ousama Dabbagh MD, University of Missouri-Columbia |
| ClinicalTrials.gov Identifier: | NCT01045759 History of Changes |
| Other Study ID Numbers: | 1143800 |
| Study First Received: | January 7, 2010 |
| Last Updated: | February 8, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Missouri-Columbia:
|
VENOUS THROMBOSIS ultrasonography intensive care unit |
Additional relevant MeSH terms:
|
Thrombosis Venous Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 23, 2013