A Randomized Controlled Trial of Lung Ultrasound Compared to Chest X-ray for Diagnosing Pneumonia in the Emergency Department

Completed · Not applicable

Conditions studied: Pneumonia

In brief

The primary objective of this study is to determine if lung ultrasound (LUS) can replace chest x-ray (CXR) when evaluating patients with possible pneumonia. Specifically, we are looking for an overall reduction of CXR when LUS is used first. Our null hypothesis is that LUS cannot replace CXR for diagnosing pneumonia. Our alternate hypothesis is that LUS can replace CXR for diagnosing pneumonia. Our secondary objectives include: (1) a comparison of unscheduled healthcare visits after the index Emergency Department (ED) visit between those subjects who undergo CXR first and those who undergo LUS first, (2) an evaluation of the rate of antibiotic use between the two groups, (3) a comparison of the admission rates, and (4) a comparison of the length of stay in the Emergency Department between the two groups.

Key facts

Study ID

NCT01654887

Run by

Icahn School of Medicine at Mount Sinai

People needed

191

Starts

2012-08-01

Expected to finish

2013-07-01

Last updated by the study team

2017-03-10

Who can join

Age: any, up to 21. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• All patients who present to the ED with respiratory symptoms suspicious for pneumonia
• In whom the treating physician believes would benefit from diagnostic imaging

You may not qualify if…

• Patients who arrive at the ED with a previously performed CXR
• Unstable patients with life-threatening injuries who require ongoing resuscitation

Where it is running

• Icahn School of Medicine at Mount Sinai — New York, New York, United States

Full record on ClinicalTrials.gov

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