NCT06092008招募中不适用
Establishing and Implementing Pneumonia Diagnosis in ED Older Adults: A Mixed Methods Approach
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Pneumonia
研究概览
简要总结
Create a clinical diagnostic pathway for older ED adults with pneumonia and its subgroups (bacterial, viral, and co-infection) and determine whether novel biomarkers improve diagnostic accuracy. The investigators will conduct a prospective observational trial of 250 ED patients ≥65 years old with suspected pneumonia. The investigators will perform analyses overall and by subgroups, seeking common models to ease adoption.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Adults aged 65 and older presenting to the ED with suspected pneumonia defined as (1) either a physician order for CXR OR CT OR a chief complaint consistent with dyspnea; AND (2) physician suspicion of pneumonia prior to ED testing (score of 2-5 on Likert scale)
排除标准
- •inability to obtain consent from the patient or an LAR
- •active cancer
- •organ transplant
- •immunosuppression
- •trauma activation
- •suicidal ideation
- •incarceration
- •antibiotics in the last 14 days
- •a separate episode of lower respiratory illness in the last 30 days
结局指标
主要结局
Pneumonia
时间窗: 3 years
Presence or absence of pneumonia based on adjudicator review of chart. The goal of the study is to create a diagnostic pathway for pneumonia in older adult emergency department patients.
次要结局
未报告次要终点
研究者
Katherine Buck
Assistant Professor
Ohio State University
研究点 (1)
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