VEREEFY: Validation of Epworth Richmond's Echocardiography Education Focused Year

Sponsor

Epworth Healthcare (Other)

Overall Status

Completed

CT.gov ID

NCT02961439

Collaborator

University of Melbourne (Other)

252

Enrollment

Location

5.9

Duration (Months)

42.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care.

The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.

Condition or Disease	Intervention/Treatment	Phase
Shock, Cardiogenic Cardiac Tamponade Pulmonary Embolism Hypovolemia	Behavioral: Epworth Richmond's Echocardiography Focused Year

Study Design

Study Type:

Observational

Actual Enrollment :

252 participants

Observational Model:

Other

Time Perspective:

Prospective

Official Title:

Validation of Epworth Richmond's Echocardiography Education Focused Year

Study Start Date :

Nov 1, 2016

Actual Primary Completion Date :

May 1, 2017

Actual Study Completion Date :

May 1, 2017

Arms and Interventions

Arm	Intervention/Treatment
Patient Participants Patient participants are adult patients in the Epworth Richmond Intensive care Unit. They are not the focus of the research but rather represent a general population of ICU patients that require echocardiography in the management of their critical illness. They will be a mix of medical and surgical patients some of whom are receiving mechanical ventilation, have movement restrictions, high BMI or other impediments to performing echocardiography.
Registrar Participants Registrar participants are doctors in training in ICU. They have completed a formal echo teaching program and completed a logbook of 30 supervised scans. They are the focus of the research and are being assessed on their diagnostic accuracy with echocardiography.	Behavioral: Epworth Richmond's Echocardiography Focused Year a year long echo teaching program

Arm

Intervention/Treatment

Patient Participants

Patient participants are adult patients in the Epworth Richmond Intensive care Unit. They are not the focus of the research but rather represent a general population of ICU patients that require echocardiography in the management of their critical illness. They will be a mix of medical and surgical patients some of whom are receiving mechanical ventilation, have movement restrictions, high BMI or other impediments to performing echocardiography.

Registrar Participants

Registrar participants are doctors in training in ICU. They have completed a formal echo teaching program and completed a logbook of 30 supervised scans. They are the focus of the research and are being assessed on their diagnostic accuracy with echocardiography.

Behavioral: Epworth Richmond's Echocardiography Focused Year

a year long echo teaching program

Outcome Measures

Primary Outcome Measures

Agreement between registrar and expert assessment of Left ventricular (LV) function [Four months]

Secondary Outcome Measures

Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd) [Four months]
Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter [Four months]
Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI) [Four months]
Comparison of expert and registrar quantitative measures of TR V max [Four months]
Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE) [Four months]
Comparison of expert and registrar quantitative measures of IVC diameter [Four months]
Comparison of expert and registrar qualitative assessment of pericardial fluid [Four months]
Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio [Four months]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Registrar Inclusion:

At least 12 month appointment in Epworth Richmond ICU
Completion of theoretical component of Epworth Richmond ICU echocardiography program
Completion of 30 echocardiography scans

Registrar Exclusion:

• Previous experience in echocardiography prior to commencing at Epworth Richmond.

Patient Inclusion

Patient in ICU or CCU
18 years or older
Not likely to be discharged before completion of the scan

Patient Exclusion

Likely to be discharged within next two hours
Atrial fibrillation
Presence of subcostal or intercostal drains or pneumothorax
Unable to be consented
Treating intensivist deems inclusion in study not suitable.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Epworth Richmond	Melbourne	Victoria	Australia	3121

Sponsors and Collaborators

Epworth Healthcare
University of Melbourne

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Kyle Brooks, Intensivist, Epworth Healthcare

ClinicalTrials.gov Identifier:

NCT02961439

Other Study ID Numbers:

EH2016-133

First Posted:

Nov 11, 2016

Last Update Posted:

Aug 10, 2017

Last Verified:

Aug 1, 2017

Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 10, 2017