Treatment of Pleural Effusion by Routine Thoracic Ultrasound
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 144
- Locations
- 1
- Primary Endpoint
- The cost-effectiveness ration
Study Overview
Brief Summary
The main objective of the study is to assess the cost-effectiveness ratio of two management strategies of pleurisy in adults : a strategy by systematic thoracic ultrasound versus a strategy without thoracic ultrasound.
Detailed Description
Comparison of two management strategies pleural effusions from diagnosis and during the first year of follow up care.
Patients are randomized into two groups, each group receiving a different management strategy.
Both strategies are compared:
Strategy A that involves the systematic use of thoracic ultrasound for the treatment of pleural effusion, treatment and follow up care. It will be possible to have recourse to other tests (such as chest CT) if deemed necessary by the practitioner.
Strategy B, which consists of the usual care pleurisy and thus without use of ultrasound: gestures are guided either by chest radiograph or by CT chest as necessary in the treatment and monitoring. A systematic radiographic pleural after each gesture is performed.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients hospitalized or seen in consultation with pleural effusion diagnosed clinically or radiologically whatever be its initial management.
Exclusion Criteria
- •Patient with a neoplasia
Arms & Interventions
Strategy with thoracic ultrasound
- Use of thoracic ultrasound for the treatment of pleural effusion, treatment and monitoring.
- Use of other examinations like chest CT if necessary
Intervention: Strategy with thoracic ultrasound (Procedure)
Strategy without thoracic ultrasound
- Usual care : without thoracic ultrasound
- Use of chest radiography or chest CT scan if necessary, as for treatment and monitoring.
Usual care: without the use of ultrasound Using either chest radiography or TDM if necessary, as for treatment and monitoring.
Outcomes
Primary Outcomes
The cost-effectiveness ration
Time Frame: 1 year
Cost estimates will be conducted from the perspective of health insurance. The expenses incurred in the care of patients with pleurisy will be counted in both groups during the follow-up year. The effectiveness will be assessed against the complications of strategy (pneumothorax, respiratory sequelae, surgery, mortality, chest pain sequelae, radiological consequences).
Secondary Outcomes
- The duration of hospitalization(1 year)