Focus Thoracic Ultrasound for Dyspnea Diagnosis in Elderly Patient in the Emergency Department

Completed

• Conditions: Dyspnea

• Registration Number: NCT04029051
• Lead Sponsor: Nantes University Hospital

Brief Summary

Brief Summary: The aim of this study is to analyze in elderly patients with undifferentiated dyspnea, the concordance of diagnosis before and after a focus thoracic ultrasound in comparison with the reference one established by an adjudication committee

Detailed Description

Dyspnea is associated with a variety of etiology whose diagnosis is challenging especially in elderly patients with unconventional symptoms. Focus thoracic ultrasound is composed by an advanced cardiac ultrasound with Doppler measures and a lung ultrasound. It has already demonstrated its ability to reduce diagnosis uncertainty in emergency patients with dyspnea. However, adequacy of diagnosis before and after thoracic ultrasound has not been investigated in such patients.

In this population, after clinical examination and use of any resource deemed necessary, the physician states its hypothesis in closed list. An emergency physician then realizes a thoracic ultrasound exam. An adjudication committee with all the patient's file will state the reference hypothesis.

Study Timeline

• Study Start: 2016-01-01
• Primary Completion: 2019-06-01
• Study Completion: 2019-06-01
• Status Verified: 2019-07
• Study First Submitted: 2019-07-19
• Study First Submitted QC: 2019-07-19
• Last Update Submitted: 2019-07-19
• Study First Posted: 2019-07-23
• Last Update Posted: 2019-07-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Acute onset dyspnea in patient over 74 years old consulting at the emergency department

Exclusion Criteria

• Need for ICU
• Need for a mechanical ventilation
• Less than 24 hours hospital stay
• Inability to consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
main objective	3 years	Concordance between initial diagnosis after standard care, after thoracic ultrasound in comparison with the reference stated by the adjudication committee

Secondary Outcome Measures

Name	Time	Method
Frequency	3 years	Frequency of each diagnosis in elderly patients consulting in the emergency department
mortality	3 years	Assessing hospital mortality in elderly patients consulting at the emergency department

Trial Locations

Locations (1)

Nantes University Hospital; 🇫🇷 Nantes, France