Dyspnea Clinical Trial
— ECUDYSOfficial title:
Interest of Clinical Ultrasound in Patients Consulting for Dyspnea in the Emergency Department: an Observational Bicentric Study
The diagnostic value of Point-of-care ultrasound (POCUS) in emergency department (ED) dyspneic patients is shown by numerous studies with a limited number of patients. Recently, Zanobetti et al. showed the POCUS diagnostic performance in dyspneic patients in 2600 patients. This study was monocentric and few physicians performed the ultrasounds. Moreover they were experts. The POCUS diagnostic performance performed in a large number of dyspneic ED patients by many physicians with heterogeneous experience is not known. The investigators are carrying out a bicentric study in two large medical teams routinely practicing POCUS. The main objective of this study is to show the diagnostic concordance between the diagnosis resulting from the POCUS results in emergency department dyspneic patients and the diagnosis of discharge from the emergency department in a large medical team with a heterogeneous level of training and experience. The secondary objective is to study these different diagnostic concordances according to the level of ultrasound expertise of the ER practitioners.
Status | Recruiting |
Enrollment | 2600 |
Est. completion date | September 16, 2021 |
Est. primary completion date | March 16, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Primary reason for emergency Department admission is dyspnea Exclusion Criteria: - Pregnant or breastfeeding women - Persons not benefiting from a social security scheme - Persons deprived of liberty - Patient participates in another study - The patient is in a period of exclusion determined by a previous study. - The patient is under legal protection, guardianship or trusteeship. - Patient refuses to participate - It proves impossible to give informed information about the subject matter - The patient is not fluent in French. |
Country | Name | City | State |
---|---|---|---|
France | Hôpital La Timone | Marseille | |
France | CHU Nîmes | Nîmes |
Lead Sponsor | Collaborator |
---|---|
Centre Hospitalier Universitaire de Nimes |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Diagnostic concordance | Diagnostic concordance between the POCUS diagnosis in emergency department dyspneic patients and the emergency department discharge diagnosis | Day 1 | |
Secondary | Diagnostic concordance and expertise | Diagnostic concordances based on the level of ultrasound expertise of emergency department practitioners | Day 1 | |
Secondary | Diagnostic performance of each ultrasound tool | Diagnostic performance of each ultrasound tool used: each pulmonary ultrasound profile, each echocardiographic evaluation or measurement. | Day 1 | |
Secondary | Prognostic performance of each ultrasound tool | Prognostic performance of each ultrasound tool used: each pulmonary ultrasound profile, each echocardiographic evaluation or measurement. | Day 1 |
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