The effect of Whole-Body Point-of-Care ultrasonography on emergency department management of patients aged 65 years and older presenting with a Ground-Level fall

NCT ID NCT07886164

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First seen Oct 21, 2026 · Last updated Oct 22, 2026 · Updated 1 time

Summary

Falls are one of the most common reasons older adults visit the emergency department. In many older patients, a fall that looks "mechanical" is actually caused by an underlying medical problem such as syncope, heart disease, dehydration or blood clots, and the history is often unreliable. This single-center prospective study will evaluate whether a structured whole-body point-of-care ultrasound (POCUS) examination performed at the bedside changes how emergency physicians manage patients aged 65 years and older who come to the emergency department after a ground-level fall. The main question is how often POCUS findings change the physician's working diagnosis, consultation requests, additional tests, procedures, or admission/discharge decisions. Patients will also be followed for one week for death and repeat emergency department visits.

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Study facts

What this study's own registry entry says, in plain language.

Participants

About 105 people

The number the study aims to enrol. It can still change while the study runs.

Started

Oct 2026

Expected to finish

Dec 2027

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Patients aged 65 years and older presenting to the adult emergency department of Kocaeli City Hospital (Kocaeli, Türkiye) after a ground-level fall.

Ages

65 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age 65 years or older * Presentation to the emergency department after a ground-level fall * No condition preventing whole-body ultrasound (no amputation preventing quadriceps muscle measurement; no open wound or burn on the chest or abdomen preventing cardiac ultrasound or FAST; no neck lesion preventing carotid ultrasound) * Written informed consent given by the patient or a legal representative Exclusion Criteria: * High-energy trauma mechanism (e.g., traffic accident, fall from height, crush injury) * Hemodynamic instability requiring priority resuscitation * Withdrawal of consent * Loss to follow-up or missing outcome data

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Conditions

The condition(s) this trial relates to.

Emergencies Frailty Syncope

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

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  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

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  3. A doctor treating you

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Contacts and locations

Locations

  • Kocaeli City Hospital, Department of Emergency Medicine

    RECRUITING

    İzmit, Kocaeli, 41060, Turkey (Türkiye)

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