跳至主要内容
临床试验/NCT07754084
NCT07754084尚未招募不适用

Establishing a Comprehensive Clinical Prediction Rule for the Diagnosis of Acute Heart Failure in the Emergency Department

Chinese University of Hong Kong3 个研究点 分布在 1 个国家目标入组 560 人开始时间: 2026年8月17日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
560
试验地点
3
主要终点
Adjudicated acute heart failure diagnosis

研究概览

简要总结

The goal of this prospective observational cohort study is to establish a comprehensive clinical prediction rule integrating clinical characteristics, point-of-care testing (POCT) of NT-proBNP, an 8-point LUS, and a rapid cardiac assessment using bedside echocardiography for diagnosing acute heart failure (AHF) in the emergency department. A clinical prediction rule with high diagnostic accuracy will minimize delays and misdiagnoses, as well as the potential harm they may cause to patients. The primary outcome measure is the adjudicated AHF diagnosis. Secondary outcome measures include ED and discharge diagnosis of the patients.

研究设计

研究类型
Observational
观察模型
Cohort
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

入选标准

  • Adult (aged ≥ 18 years)
  • Suspected AHF or acute dyspnea
  • Symptoms include shortness of breath, swelling of legs, orthopnea, paroxysmal nocturnal dyspnoea, exertional dyspnea or weight gain

排除标准

  • Trauma patients
  • Pregnancy
  • Unstable patients requiring invasive airway intervention
  • Patients who refuse to participate

研究组 & 干预措施

Testing Cohort

Patients from PWH and TMH

干预措施: Acute Heart Failure Diagnostic Method (Diagnostic Test)

Validation Cohort

Patients from QMH

干预措施: Acute Heart Failure Diagnostic Method (Diagnostic Test)

结局指标

主要结局

Adjudicated acute heart failure diagnosis

时间窗: Immediately after the 6 month follow-up.

The primary outcome for model development and validation will be the adjudicated diagnosis of acute heart failure, as determined by independent review according to ESC criteria.

次要结局

  • Emergency department and discharge diagnosis of the patients(From enrolment to end of review at 6 months.)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kevin HUNG Kei-ching

Associate Professor, Accident and Emergency Medicine Academic Unit

Chinese University of Hong Kong

研究点 (3)

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