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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05327374
Other study ID # ?IVC /AHF/ AECOPD
Secondary ID
Status Completed
Phase
First received
Last updated
Start date March 1, 2022
Est. completion date January 31, 2023

Study information

Verified date May 2023
Source University of Monastir
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Acute Heart failure (AHF) is a common cause of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). This association is frequently underestimated with regard to the difficulty of clinical diagnosis. The investigators expect that the application of the inferior vena cava collapsibility index (ΔIVC)could be useful in this issue.


Description:

Acute heart failure (AHF) is a common cause of COPD exacerbation however its role is very often underestimated. Until now, the use of echocardiography and some invasive hemodynamic exploration techniques such as the Swanganz catheter has been stated as reference. Other noninvasive diagnostic methods have been studied, such as systolic time intervals and Valsalva maneuver, but their application still difficult in patients with COPD exacerbation, especially in emergency department (ED) settings. the study aimed to evaluate the performance of a new diagnostic technique based on the measurement of the ΔIVC for the early identification of AHF in patients presenting to the ED with acute COPD exacerbation.


Recruitment information / eligibility

Status Completed
Enrollment 401
Est. completion date January 31, 2023
Est. primary completion date November 30, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 90 Years
Eligibility Inclusion Criteria: - patient with history of COPD and admitted to the emergency departement for AECOPD Exclusion Criteria: - impossibility to give consent to participate in the study, non consent patients - post traumatic dyspnea - instable hemodynamic or neurological status

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
calculation of the inferior vena cava collapsibility index
the ?IVC was calculated by the emergency physician who was blinded from the patient's medical history using the formula ((IVCmax-IVCmin)/IVCmax) X100.A cutoff of 15% was used to define the presence(<15%) or absence(>15%) of heart failure

Locations

Country Name City State
Tunisia CHU Fattouma Bourguiba Monastir
Tunisia Emergency Departement Monastir
Tunisia Emergency department of fattouma bourguiba university hospital Monastir

Sponsors (1)

Lead Sponsor Collaborator
University of Monastir

Country where clinical trial is conducted

Tunisia, 

Outcome

Type Measure Description Time frame Safety issue
Primary the performance of ?IVC in the diagnosis of acute heart failure the accuracy of ?IVC in the diagnosis of heart failure measured by sensitivity ,specificity, and area under the roc curve 1 day
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