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Clinical Trials/NCT03239730
NCT03239730CompletedNot Applicable

Arterial pH Selectively Predicts ICU Transfer in Obese Patients With Acute Dyspnea Presenting to the Emergency Department: a Prospective Comparative Cohort Study

Association pour la Formation du Personnel à la Medecine d'Urgence1 site in 1 country400 target enrollmentStarted: May 23, 2013Last updated:
Conditions

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

Investigators

Sponsor
Association pour la Formation du Personnel à la Medecine d'Urgence
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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