Arterial pH Selectively Predicts ICU Transfer in Obese Patients With Acute Dyspnea Presenting to the Emergency Department: a Prospective Comparative Cohort Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Composite of admission to the ICU or in ED mortality before ICU admission
Study Overview
Brief Summary
This study evaluates the prognostic value of arterial blood gas analysis in a cohort of Emergency Department patients presenting with shortness of breath of any cause, comparing obese and non-obese patients.
Detailed Description
Factors associated with admission to intensive care unit (ICU) or ED mortality before transfer to the ICU are analyzed in obese (BMI ≥ 30kg.m-2) and non-obese patients subgroups.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients who presented with acute dyspnea in the ED
- •patients who had an ABG analysis as part of the ED standard management
Exclusion Criteria
- •Patients with treatment limitation decisions made by the medical teams against ICU admission, including severe cognitive impairment or palliative care ,
- •Patients with immediate transfer to ICU due to shock and hemodynamic instability at ED admission
Outcomes
Primary Outcomes
Composite of admission to the ICU or in ED mortality before ICU admission
Time Frame: up to 1 day (direct admission to ICU from ED)
Admission to the ICU following ED management will be at the discretion of the attending ICU physician, and in agreement with current guidelines for ICU admission, according to standard management
Secondary Outcomes
No secondary outcomes reported
