NCT01193998已完成不适用
Analysis of the Impact of Using a Validated Diagnostic Prediction Model of Acute Heart Failure in the Emergency Department
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 186
- 试验地点
- 5
- 主要终点
- Comparison of diagnostic model versus clinical judgment in appropriate diagnosis of Acute Heart Failure in dyspneic emergency department patients
研究概览
简要总结
The purpose of this study is to evaluate a validated diagnostic prediction model in the appropriate diagnosis of Acute Heart Failure (AHF) in patients presenting at the emergency department with undifferentiated dyspnea.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Presentation to the ED with undifferentiated shortness of breath
排除标准
- •Dyspnea of obvious cause, e.g. chest trauma, obvious clinical exacerbation of known chronic obstructive disease
- •Obvious pulmonary edema in a patient with a known diagnosis of HF and recently admitted to hospital for HF
- •Clinician does not plan to treat for AHF at all, but rather to pursue other causes of dyspnea (i.e., probability of AHF ≤ 20%)
- •Clinician plans to treat for AHF and not to pursue other causes of dyspnea (i.e., probability of AHF ≥ 80%)
- •Acute coronary syndrome within one month
- •Chronic renal failure (serum creatinine ≥ 250 mol/l)
- •Anticipated life expectancy < 6 months due to non-cardiovascular causes
- •Participation in another interventional outcome trial
- •Inability to obtain informed consent, including inability of patient to understand English
结局指标
主要结局
Comparison of diagnostic model versus clinical judgment in appropriate diagnosis of Acute Heart Failure in dyspneic emergency department patients
时间窗: 60 days after patient presentation to the emergency department
次要结局
- Determine if use of the diagnostic prediction model leads to cost savings and better health outcomes(From randomization until 60 days after patient presentation to the emergency department)
研究者
Brian Steinhart
Physician
Unity Health Toronto
研究点 (5)
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