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Table 1 World Health Organization trial registration dataset for IMFCU-1

From: 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

Data category

Information

Primary registry and trial identifying number

Australian and New Zealand Trial Registration, ACTRN12618001442291

Date of registration

28 August 2018

Prospective registration

Yes

Primary sponsor

Royal Melbourne Hospital

Public title

A bedside ultrasound in general medicine patients with cardiopulmonary diagnosis

Scientific title

A randomized trial of focused cardiac, lung, and femoral and vein ultrasound on the length of stay in internal medicine admissions with a cardiopulmonary diagnosis. IMFCU-1 study.

Date of first enrolment

3 September 2018

Target sample size

250

Recruiting status

Recruiting (103 recruited)

URL

U111112185271

Study type

Interventional

Study design

Randomized controlled trial parallel

Phase

Not applicable

Country of recruitment

Australia

Contacts

Prof Colin Royse (principal investigator)

Address: Level 6, Centre of Medical Research, Royal Parade, Parkville, VIC 3052, Australia.

Telephone: (61)383445673

Email: colin.royse@heartweb.com

Affiliation: Department of Surgery, University of Melbourne

Department of Anesthesia and Pain Management, Royal Melbourne Hospital

Key inclusion & exclusion criteria

Inclusion criteria:

Adult patients (aged 18 years or older) admitted to general medicine unit at the Royal Melbourne Hospital with a cardiopulmonary diagnosis, expected to remain in hospital longer than 24 h.

Exclusion criteria:

Already admitted longer than 24 h

Admitted for social reasons rather than medical

Have received an echocardiography within four weeks before admission or a CT chest scan during the admission process before enrolment

Health conditions or problems studied

Heart failure, asthma, COPD, pneumonia, PE, unspecified dyspnea

Intervention

A bedside ultrasound done by a physician trained in POCUS. The ultrasound takes around 20 min to be performed. The quality of the report will be assessed by a second expert who will check the images and videos recorded.

Primary outcome

LOS at the hospital

Secondary outcome

Incidence of new diagnosis and Incidence of changing management. These two outcomes will be assessed only in the interventional group. The treating physician will be asked to fill in a form with the initial diagnosis and plan of management. This form is a checklist describing further investigations (blood test and imaging), consultation to another specialist and medication prescribed (diuretics, antibiotics, etc.). After performing and revealing to them the findings of the bedside ultrasound, the treating physician will be asked to fill a second form that is exactly the same than the first one. The difference between both will be analyzed as “change of management” due to our intervention.

Health costs: this outcome will be assessed by the sum of the following three components: (1) cost per day at the hospital; (2) cost of the pathology investigation; (3) cost of the imaging tests.

  1. COPD chronic obstructive pulmonary disease, IMFCU internal medicine focused clinical ultrasound, LOS length of stay, PE pulmonary embolism, POCUS point-of-care ultrasound