Focus Thoracic Ultrasound for Dyspnea Diagnosis in Elderly Patient in the Emergency Department

Dyspnea Clinical Trial

— echoelderly  

Official title:

Focus Thoracic Ultrasound for Dyspnea Diagnosis in Elderly Patient in the ED: Prospective Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04029051
• Other study ID #: 2015-036
• Status: Completed
• Start date: January 1, 2016
• Est. completion date: June 1, 2019

Study information

• Verified date: July 2019
• Source: Nantes University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Brief Summary: The aim of this study is to analyze in elderly patients with undifferentiated dyspnea, the concordance of diagnosis before and after a focus thoracic ultrasound in comparison with the reference one established by an adjudication committee

Description:

Dyspnea is associated with a variety of etiology whose diagnosis is challenging especially in elderly patients with unconventional symptoms. Focus thoracic ultrasound is composed by an advanced cardiac ultrasound with Doppler measures and a lung ultrasound. It has already demonstrated its ability to reduce diagnosis uncertainty in emergency patients with dyspnea. However, adequacy of diagnosis before and after thoracic ultrasound has not been investigated in such patients.

In this population, after clinical examination and use of any resource deemed necessary, the physician states its hypothesis in closed list. An emergency physician then realizes a thoracic ultrasound exam. An adjudication committee with all the patient's file will state the reference hypothesis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 84
• Est. completion date: June 1, 2019
• Est. primary completion date: June 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Acute onset dyspnea in patient over 74 years old consulting at the emergency department

Exclusion Criteria:

• Need for ICU

• Need for a mechanical ventilation

• Less than 24 hours hospital stay

• Inability to consent

Related Conditions & MeSH terms

• Dyspnea

Intervention

Other:
• Focus thoracic ultrasound for dyspnea diagnosis
Focus thoracic ultrasound is composed by an advanced cardiac ultrasound with Doppler measures and a lung ultrasound.

Locations

Country	Name	City	State
France	Nantes University Hospital	Nantes

Sponsors (1)

Lead Sponsor	Collaborator
Nantes University Hospital

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	main objective	Concordance between initial diagnosis after standard care, after thoracic ultrasound in comparison with the reference stated by the adjudication committee	3 years
Secondary	Frequency	Frequency of each diagnosis in elderly patients consulting in the emergency department	3 years
Secondary	mortality	Assessing hospital mortality in elderly patients consulting at the emergency department	3 years