Point-of-care Ultrasound Utility in the Free Clinic Setting
ConditionPoint of Care Ultrasound (POCUS)
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIndiana University
About this trial
The goal of this observational study is to learn about the clinical utility of point-of-care ultrasound (POCUS) in patients receiving care in a free clinic or street medicine setting in Indianapolis. The main question it aims to answer is:
How often is POCUS used during patient encounters in a free clinic setting, and how does it influence clinical decision-making?
Participants who are receiving care from the street medicine team or the Indiana University School of Medicine Student Outreach Clinic and who undergo a clinically indicated POCUS exam as part of their regular medical care will have information from their ultrasound encounters recorded. Researchers will track the type of ultrasound performed, the findings, and whether the ultrasound changed the patient's medical management. Participants will also have a 30-day follow-up through electronic medical record review or phone/email contact to assess their clinical course and compare POCUS findings with any formal radiology studies if performed.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients >18 years old
Presenting to either: street medicine team in Indianapolis, IN OR patients presenting to free clinic in Indianapolis, IN, AND Being treated by the Primary Investigatory AND Meeting one or more of specific indications (see study design)
Disqualifiers
Patients <18 years old
Patients unable to provide verbal consent
Patient refusal of ultrasound
Trial design
Design model
Single group
Treatments tested in this trial
Point of care ultrasound
Diagnostic testNo additional interventions are utilized in the study
Treatment groups
50 Participants
are divided into 1 treatment groupGroup A: Point of care ultrasoundExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Ultrasound utilization
frequency of utilization of point of care ultrasound in a free clinic setting.
Time frame
through study completion, an average of 1 yearSecondary outcomes
1
Agreement of findings between POCUS and subsequent radiology-performed US (if performed within 1 month and available)
compare findings of Point-of-care Ultrasound to formal ultrasounds and gather data on frequency of visits where POCUS changed medical management
Time frame
through study completion, an average of 1 year2
Percentage of studies with positive findings
Identify amount of studies performed with clinically relevant positive findings
Time frame
through study completion, an average of 1 year3
Percentage of studies with subsequent referral to subspecialist teams
Identify quantity of studies performed that prompted referral for subspecialist evaluation.
Time frame
through study completion, an average of 1 year4
Percentage of studies with change in medical care plan (% of avoided hospital referrals) secondary to POCUS
Identify amount of studies performed that prompted a meaningful change in management (i.e. avoidance of hospital referral or triggered referral)
Time frame
through study completion, an average of 1 yearSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov