Can a quick heart scan save sepsis patients from organ failure?
NCT ID NCT04580888
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study looked at whether doing an early heart ultrasound (echocardiography) in the emergency department helps doctors manage sepsis or septic shock better. 312 adults with sepsis were randomly assigned to either get the ultrasound plus a treatment guide, or standard care. The goal was to see if the ultrasound approach reduced organ failure over 24 hours.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- early transthoracic echocardiography (a heart ultrasound procedure)
- What this could lead to
- If successful, this could show that using early heart ultrasound helps doctors make better treatment decisions for sepsis patients, potentially reducing organ damage.
- What could go wrong
- This is a completed study, but its findings may not change standard practice if the intervention did not significantly improve outcomes. The results are specific to emergency department settings and may not apply elsewhere.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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312 people
The number who actually took part.
- Started
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Jul 2021
- Finished
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Apr 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients admitted to the ED * Age ≥ 18 years and affiliation to Social Security * With sepsis (Sepsis-3 definition): Clinically suspected or documented acute infection AND a quick score Sequential Organ Failure Assessment (qSOFA) ≥ 2 points with: * Systolic blood pressure ≤ 100 mmHg (1 point) requiring fluid loading * AND encephalopathy (1 point) OR respiratory rate ≥ 22 cpm (1 point) AND a systolic blood pressure ≤ 100 mmHg after 500 mL of crystalloid vascular filling - Informed consent Exclusion Criteria: * Decision to limit care or moribund status * Pregnancy or breast feeding * Subject under juridical protection.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CH d'Albi
Albi, 81000, France
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CH d'Eaubonne - Montmorency
Eaubonne, 95600, France
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Grenoble university hospital
La Tronche, 38700, France
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Hospices civils de Lyon
Lyon, 69003, France
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La réunion university hospital
Saint-Pierre, 97410, France
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Limgoes university hospital
Limoges, 87042, France
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Nantes university hospital
Nantes, 44093, France
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Nice university hospital
Nice, 06600, France
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Poitiers university hospital
Poitiers, 86000, France
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Toulouse university hospital
Toulouse, 31059, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can warming the body help sepsis patients who cannot make a fever?
- Can a simple ultrasound measurement reveal heart strain in sepsis?
- Clotting clues: simple blood test eyed to catch sepsis before it turns deadly
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a triage checklist ease pain months after emergency surgery?