Treatment of Pleural Effusion by Routine Thoracic Ultrasound
试验速览
- 阶段
- 不适用
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- The cost-effectiveness ration
研究概览
简要总结
The main objective of the study is to assess the cost-effectiveness ratio of two management strategies of pleurisy in adults : a strategy by systematic thoracic ultrasound versus a strategy without thoracic ultrasound.
详细描述
Comparison of two management strategies pleural effusions from diagnosis and during the first year of follow up care.
Patients are randomized into two groups, each group receiving a different management strategy.
Both strategies are compared:
Strategy A that involves the systematic use of thoracic ultrasound for the treatment of pleural effusion, treatment and follow up care. It will be possible to have recourse to other tests (such as chest CT) if deemed necessary by the practitioner.
Strategy B, which consists of the usual care pleurisy and thus without use of ultrasound: gestures are guided either by chest radiograph or by CT chest as necessary in the treatment and monitoring. A systematic radiographic pleural after each gesture is performed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •Patients hospitalized or seen in consultation with pleural effusion diagnosed clinically or radiologically whatever be its initial management.
排除标准
- •Patient with a neoplasia
研究组 & 干预措施
Strategy with thoracic ultrasound
- Use of thoracic ultrasound for the treatment of pleural effusion, treatment and monitoring.
- Use of other examinations like chest CT if necessary
干预措施: Strategy with thoracic ultrasound (Procedure)
Strategy without thoracic ultrasound
- Usual care : without thoracic ultrasound
- Use of chest radiography or chest CT scan if necessary, as for treatment and monitoring.
Usual care: without the use of ultrasound Using either chest radiography or TDM if necessary, as for treatment and monitoring.
结局指标
主要结局
The cost-effectiveness ration
时间窗: 1 year
Cost estimates will be conducted from the perspective of health insurance. The expenses incurred in the care of patients with pleurisy will be counted in both groups during the follow-up year. The effectiveness will be assessed against the complications of strategy (pneumothorax, respiratory sequelae, surgery, mortality, chest pain sequelae, radiological consequences).
次要结局
- The duration of hospitalization(1 year)