Registry of Patients With Acute Dyspnea in the Emergency Department

Completed

• Conditions: COPD; Dyspnea; Heart Failure

• Registration Number: NCT01910233
• Lead Sponsor: Klinikum Nürnberg

Brief Summary

This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg. There is evidence that acute dyspnea is associated with a mortality rate of 10%, however acute dyspnea is not perceived as a life-threatening condition, both in public and in health care providers. Our aim is to describe the patient collective concerning their demographics, baseline characteristics, type of referral and disposition, medical care processes and prognosis. Secondly, we want to evaluate if the subjective risk assessment of emergency department personnel matches with objective risk stratification tools and the actual outcome of the studied patients.

Detailed Description

This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg during May 23th 2013 and October 31th 2013. To be included into the registry the patient has to express acute dyspnea. Minor patients are not included. The admission documents of the studied patients are accompanied by a questionnaire that has to be completed by the triage nurse and the attending physician. The questionnaire includes items like professional experience and subjective assessment of patient's prognosis. In addition the attending physician has to state if the evaluation of medical history was difficult, if previous medication is known and how likely the presence of heart failure as underlying condition is. Data of the questionnaire, the patient record and the follow up contacts are entered in a SPSS database. Finally, we measure the OPTIMIZE-HF score (Abraham et al. 2008) and the PRIDE mortality score (Baggish et al. 2007) in a retrospective manner in order to compare the subjective assessments with objective criteria.

Study Timeline

• Study Start: 2013-05
• Study First Submitted: 2013-07-25
• Study First Submitted QC: 2013-07-25
• Study First Posted: 2013-07-29
• Primary Completion: 2015-05
• Study Completion: 2015-12
• Status Verified: 2016-03
• Last Update Submitted: 2016-03-31
• Last Update Posted: 2016-04-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 947

Inclusion Criteria

• expression of acute dyspnea in the emergency department

Exclusion Criteria

• age < 18 years

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
all cause mortality	6 months

Secondary Outcome Measures

Name	Time	Method
subjective and objective risk assessment	1 month	data from the questionnaire completed by triage nurse and attending physician, OPTIMIZE-HF and PRIDE mortality score
medical care processes	1 day	type of referral, disposition patterns, diagnostic and therapeutical measures
demographics and baseline characteristics	1 month	baseline characteristics as for example vital signs, medication, underlying disease condition (adjusted final diagnosis), medical history, concomitant diseases

Trial Locations

Locations (1)

Department of Emergency and Critical Care Medicine, City Hospital Nuremberg; 🇩🇪 Nuremberg, Bavaria, Germany