Lung Ultrasound for Acute Dyspnea in Emergency Department

Completed

• Conditions: Dyspnea; Congestive Heart Failure
• Interventions: Other: lung and pleural ultrasound

• Registration Number: NCT01287429
• Lead Sponsor: University of Turin, Italy

Brief Summary

Dyspnea is a frequent symptom in patients admitted to the Emergency Department (ED); discriminating between cardiogenic and non-cardiogenic dyspnea is a common clinical dilemma. The initial diagnostic work-out is often not very accurate in defining the etiology and the underlying pathophysiology. In the last years, lung ultrasound (US) has emerged as a useful real-time bedside diagnostic tool in the critical patient. The aim of this study was to evaluate the accuracy, reproducibility, and diagnostic impact of pleural and lung US, performed by emergency physicians at the time of patient first presentation to the ED, in identifying cardiac causes of acute dyspnea.

Detailed Description

Not available

Study Timeline

• Status Verified: 2010-10
• Study Start: 2010-10
• Study First Submitted: 2011-01-28
• Study First Submitted QC: 2011-01-28
• Study First Posted: 2011-02-01
• Primary Completion: 2012-10
• Study Completion: 2012-10
• Last Update Submitted: 2012-11-19
• Last Update Posted: 2012-11-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1005

Inclusion Criteria

• Patients had to present to the ED with a principal complaint of shortness of breath, defined as either the sudden onset of dyspnea with no history of chronic dyspnea or an increase in the severity of chronic dyspnea in the last 48 hours;
• Presence of an emergency physician with lung US experience at the time of enrollment;
• US examination within 30 minutes after the start of the clinical evaluation.

Exclusion Criteria

• Dyspnea cases clearly due to neither cardiogenic nor respiratory etiology will considered not eligible.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
acute dyspnea	lung and pleural ultrasound	-

Trial Locations

Locations (7)

Emergency Medicine & Surgery Unit - Cardinal Massaia Hospital; 🇮🇹 Asti, Italy

Emergency Medicine & Surgery Unit - Martini Hospital, ASL TO 2; 🇮🇹 Turin, Italy

Emergency Medicine Unit - AOU San Luigi Gonzaga; 🇮🇹 Orbassano, Italy

Emergency Department - AO Santa Croce e Carle; 🇮🇹 Cuneo, Italy

Emergency Medicine & Surgery Unit - Pinerolo General Hospital, ASL TO 3; 🇮🇹 Pinerolo, Italy

Emergency Department - AOU San Giovanni Battista; 🇮🇹 Turin, Italy

Emergency Medicine and Surgery Unit- AO Mauriziano; 🇮🇹 Turin, Italy