Telesonography Adaptation and Use to Improve the Standard of Patient Care Within a Dominican Community
Ascites, Blunt Abdominal Trauma, Cholelithiasis
About this trial
This is an interventional health services research trial for Ascites focused on measuring ultrasound, telediagnosis, teleultrasound, telesonography, teleultrasonography, teleradiology, telemedicine, dominican republic, puntacana, veron, store-and-forward, asynchronous
Eligibility Criteria
Inclusion Criteria:
- Clinical suspicion of one or more of the following: ascites, blunt abdominal trauma, cholelithiasis, cholecystitis, cholangitis, pancreatitis, hydronephrosis, abdominal aortic aneurysm, hepatitis, portal hypertension, urolithiasis, abnormal uterine bleeding, or ovarian mass or torsion
Exclusion Criteria:
- Urgent condition that requires immediate surgical intervention / transfer to tertiary medical center
Sites / Locations
- Primary Clinic of Veron
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
1
2
The control group will receive traditional ultrasound consults (i.e. travel to nearest tertiary center for intraabdominal sonographic evaluation and return with radiologist's report).
The experimental group will receive the teleultrasound service. Participants are randomly assigned to this group. All patients will receive a traditional clinical work-up. An ultrasound examination will be offered if, based on initial clinical evaluation by an attending physician, the patient is found to have symptoms consistent with any the following abnormalities: ascites, blunt abdominal trauma, cholelithiasis, cholecystitis, cholangitis, pancreatitis, hydronephrosis, abdominal aortic aneurysm, hepatitis, portal hypertension, urolithiasis, abnormal uterine bleeding, ovarian mass or torsion.