Establishing a Comprehensive Clinical Prediction Rule for the Diagnosis of Acute Heart Failure in the Emergency Department
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
- 是
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
Kevin HUNG Kei-ching
Associate Professor, Accident and Emergency Medicine Academic Unit
Chinese University of Hong Kong
