Interest Assessment of the Blue Protocol in Improving Diagnosis of Dyspneic Patients in Pre- and Intra-hospital Emergency Medicine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 115
- 试验地点
- 1
- 主要终点
- concordance between the clinical diagnosis and the final diagnosis
研究概览
简要总结
Acute dyspnea is a common disease in emergency medicine. Mortality remains high is estimated at 15%. One third of initial diagnoses before paraclinical examination are estimated to be inaccurate. Lung ultrasound is a quick and immediate examination. Also, it is provided and performed at the bedside. The " Blue protocol " was designed by Daniel A. Lichtenstein as a diagnostic aid in dyspneic patients. It allows to obtain a diagnostic in more than 90% of acute dyspnea. However there is no validation in emergency medicine.
The main purpose is to evaluate the interest of the " Blue protocol "in the management and orientation of the dyspneic patient
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
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 over 18 years
- •dyspneic patient requiring management by an emergency physician
- •information given and no patient opposition.
排除标准
- •patient under a legal protection measure
- •lack of social security
结局指标
主要结局
concordance between the clinical diagnosis and the final diagnosis
时间窗: day of arrival in emergency
comparison of the concordance between the clinical diagnosis and the final diagnosis
concordance between the diagnosis establishes after the ultrasonography and the final diagnosis
时间窗: day of arrival in emergency
concordance between the diagnosis establishes after the ultrasonography and the final diagnosis
次要结局
- Change of proportion of examinations leading to a change in the therapeutic hypothesis(8 months)