Contribution LUS in the Diagnosis of Acute Heart Failure (AHF) in Patients Admitted to the ED

Completed

• Conditions: Dyspnea; Cardiac
• Interventions: Diagnostic Test: lung ultrasound

• Registration Number: NCT03717779
• Lead Sponsor: University of Monastir

Brief Summary

This study assesses the potential of lung ultrasonography to diagnose heart failure.

Detailed Description

Dyspnea is one of the most distressing situations for the patient . Emergency cases do not always present in conditions that are ideal for immediate diagnosis, which sometimes compromises outcome. Physical examination, laboratory findings and radiography are imperfect, resulting in a need for sophisticated test results that delay management.

Lung ultrasonography is becoming a standard tool in critical cases in the ED.

the investigators aim to perform ultrasonography on consecutive patients admitted to the ICU with dyspnea, comparing lung ultrasonography results on initial presentation with the final diagnosis by the ICU team.

Three items were assessed: artifacts (horizontal A lines or vertical B lines indicating interstitial syndrome), lung sliding, and alveolar consolidation and/or pleural effusion, these items were grouped to assess ultrasound profiles.

This study assesses the potential of lung ultrasonography to diagnose heart failure.

Study Timeline

• Study Start: 2016-01-02
• Primary Completion: 2017-10-01
• Study Completion: 2017-10-01
• Study First Submitted: 2018-07-06
• Study First Submitted QC: 2018-10-22
• Study First Posted: 2018-10-24
• Status Verified: 2019-01
• Last Update Submitted: 2019-01-15
• Last Update Posted: 2019-01-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

• non traumatic dyspnea with the final diagnosis of heart failure

Exclusion Criteria

• coma,
• shock,Mechanical Ventilation,
• vasopressor drugs
• arrhythmia serious and sustained,
• non consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
HF/HFpEF	lung ultrasound	patients with heart failure with a preserved ejection fraction(HFpEF) perform LUS
HF/HFrEF	lung ultrasound	patients with heart failure with a reduced ejection fraction(HFrEF) perform LUS

Primary Outcome Measures

Name	Time	Method
the accuracy of LUS in the diagnosis of heart failure	0 days	the accuracy of LUS in the diagnosis of heart failure measured by sensitivity ,specificity, and area under the roc curve

Trial Locations

Locations (1)

Emergency department of university hospital Fattouma Bourguiba of Monastir; 🇹🇳 Monastir, Tunisia