Establishing and Implementing Pneumonia Diagnosis in ED Older Adults: A Mixed Methods Approach

Ohio State University1 个研究点分布在 1 个国家目标入组 250 人2022年12月2日

适应症Pneumonia

概览

阶段: 不适用
干预措施: 未指定
疾病 / 适应症: Pneumonia
发起方: Ohio State University
入组人数: 250
试验地点: 1
主要终点: Pneumonia
状态: 招募中
最后更新: 2个月前

概览研究者入排标准结局指标研究点相似试验

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.

注册库

clinicaltrials.gov

开始日期

2022年12月2日

结束日期

2027年6月30日

最后更新

2个月前

研究类型

Observational

性别

All

研究者

发起方

Ohio State University

责任方

Principal Investigator

主要研究者

Katherine Buck

Assistant Professor

Ohio State University

入排标准

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.