Acute Heart Failure Study in Patients Admitted to Emergency Department for Dyspnea

Completed

• Conditions: Heart Failure

• Registration Number: NCT02835963
• Lead Sponsor: University Hospital, Toulouse

Brief Summary

No studies have analyzed the predictive value of different anamnestic and clinical signs for the diagnosis of acute heart failure (AHF) in patients admitted to emergency department. That's why the expert group of the AHF of South West of France mobilizes to conduct this study to evaluate the diagnostic predictive value of different anamnestic and clinical signs for the diagnosis of AHF to emergencies.

Detailed Description

There is no recommendation of the French Society of Emergency Medicine (SFMU) on the management of the acute heart failure in the emergency department.

The present study hypothesizes that identifying anamnestic and clinical criteria of AHF in patients admitted to emergency department for acute dyspnea would optimize the management of these patients upon arrival to the emergency department and to implement rapidly the appropriate therapeutic strategies.

All patients admitted for dyspnea will be enrolled by the emergency physicians (after verification of inclusion and exclusion criteria) in the 3 participating centers.

Then, all files will be analyzed retrospectively from information collected by a committee of experts cardiologists and emergency physicians of each center.

The primary objective is the evaluation of diagnostic predictive value of different anamnestic and clinical signs for the diagnosis of AHF in emergency department for the construction of a clinical prediction score of acute heart failure. The secondary objective is the description of the diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea.

Study Timeline

• Study Start: 2016-03
• Study First Submitted: 2016-07-07
• Study First Submitted QC: 2016-07-13
• Study First Posted: 2016-07-18
• Primary Completion: 2016-08
• Study Completion: 2016-12
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-13
• Last Update Posted: 2022-01-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 342

Inclusion Criteria

• patients ≥ 18 years
• Admitted to emergency department for acute dyspnea

Exclusion Criteria

• Traumatic dyspnea
• shock / Systolic blood pressure <90 mmHg

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
diagnosis of AHF after expertise	12 months	The final diagnosis of AHF after expertise of patients records by a committee of experts cardiologists and emergency physicians.

Secondary Outcome Measures

Name	Time	Method
Diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea	Baseline	The secondary objective is the description of the diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea

Trial Locations

Locations (3)

University Hospital Toulouse; 🇫🇷 Toulouse, France

University Hospital; 🇫🇷 Bordeaux, France

Hospital; 🇫🇷 Pau, France