Dyspnea Clinical Trial
Official title:
Randomized Clinical Trial of the Impact of a Respiratory Complaints Assessment Checklist on Resources Utilization and Clinical Outcomes in an Acute Evaluation Outpatient Clinic
This is a randomized clinical trial that evaluates the impact of using an internet-based checklist for systematic assessment of patients reporting respiratory complaints with the conventional assessment, without using the checklist.
This is a randomized clinical trial that evaluates the impact of using an internet-based
checklist for systematic assessment of patients reporting respiratory complaints with the
conventional assessment, without using the checklist.
Study setting: emergency department related acute evaluation outpatient clinic
Inclusion criteria: 18 years of age or older; patients presenting to the ED reporting cough
or dyspnea;
Exclusion criteria: acute respiratory failure; SpO2 < 92%; any signs of hemodynamic or
respiratory instability; possible concurrent diagnosis requiring immediate assessment
(e.g..: acute coronary syndrome or stroke; )
Primary outcome: need of reassessment in the ED or hospitalization within 1 month of index
evaluation (intervention).
Secondary outcomes: number of complete blood counts ordered in the index evaluation; number
of other diagnostic tests ordered in the index evaluation;
Randomization: block 1:1; stratified by gender and age (>50 years old).
Masking will be appllied to: patients; outcome assessors; data analysts;
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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