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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02961439
Registration number
NCT02961439
Ethics application status
Date submitted
3/11/2016
Date registered
11/11/2016
Date last updated
10/08/2017
Titles & IDs
Public title
Validation of Epworth Richmond's Echocardiography Education Focused Year
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Scientific title
Validation of Epworth Richmond's Echocardiography Education Focused Year
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Secondary ID [1]
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EH2016-133
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Universal Trial Number (UTN)
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Trial acronym
VEREEFY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shock, Cardiogenic
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Cardiac Tamponade
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Pulmonary Embolism
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Hypovolemia
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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Clotting disorders
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Respiratory
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Other respiratory disorders / diseases
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Cardiovascular
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Other cardiovascular diseases
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
BEHAVIORAL - Epworth Richmond's Echocardiography Focused Year
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
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Agreement between registrar and expert assessment of Left ventricular (LV) function
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Assessment method [1]
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Timepoint [1]
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Four months
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Secondary outcome [1]
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Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd)
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Assessment method [1]
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Timepoint [1]
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Four months
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Secondary outcome [2]
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Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter
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Assessment method [2]
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Timepoint [2]
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Four months
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Secondary outcome [3]
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Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI)
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Assessment method [3]
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Timepoint [3]
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Four months
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Secondary outcome [4]
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Comparison of expert and registrar quantitative measures of TR V max
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Assessment method [4]
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Timepoint [4]
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Four months
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Secondary outcome [5]
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Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE)
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Assessment method [5]
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Timepoint [5]
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Four months
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Secondary outcome [6]
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Comparison of expert and registrar quantitative measures of IVC diameter
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Assessment method [6]
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Timepoint [6]
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Four months
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Secondary outcome [7]
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Comparison of expert and registrar qualitative assessment of pericardial fluid
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Assessment method [7]
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Timepoint [7]
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Four months
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Secondary outcome [8]
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Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio
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Assessment method [8]
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Timepoint [8]
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Four months
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Eligibility
Key inclusion criteria
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
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
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.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2017
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Sample size
Target
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Accrual to date
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Final
252
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Epworth Richmond - Melbourne
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Recruitment postcode(s) [1]
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3121 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Epworth Healthcare
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Melbourne
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT02961439
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Trial related presentations / publications
Brooks KS, Tan LH, Rozen TH, Kelly D, McKenzie DP, Calafiore P, Barrett J. Validation of Epworth Richmond's Echocardiography Education Focused Year. Crit Care Med. 2020 Jan;48(1):e34-e39. doi: 10.1097/CCM.0000000000004076.
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Public notes
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Contacts
Principal investigator
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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Fax
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02961439
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