MedPath

Performance of New Diagnostic Methods in Older Adults With Pneumonia

Recruiting
Conditions
Pneumonia
Registration Number
NCT06092008
Lead Sponsor
Ohio State University
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • 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)
Exclusion Criteria
  • 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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pneumonia3 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.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The Ohio State University

🇺🇸

Columbus, Ohio, United States

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