Efficiency of the Imaging Strategy for the Management of Pneumonia

Pneumonia Clinical Trial

— EFFI-PNEUMO  

Official title:

Efficiency of the Imaging Strategy for the Management of Pneumonia in the Emergency Department

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05140408
• Other study ID #: 8129
• Status: Recruiting
• Start date: May 1, 2021
• Est. completion date: January 31, 2022

Study information

• Verified date: October 2021
• Source: University Hospital, Strasbourg, France
• Contact: Sabrina GARNIER KEPKA, MD
• Phone: 33 3 69 55 13 35
• Email: Sabrina.GARNIER-KEPKA[@]chru-strasbourg.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

For patients with suspected pneumonia presenting to the emergency room, the imaging strategy most often involves a frontal and lateral chest x-ray despite poor diagnostic input. Indeed, the radiography is not very sensitive and specific for the diagnosis of pneumopathy compared to the scanner. However, the scanner remains the gold standard, the major constraint of which concerns the irradiation to which the patient is exposed. The new scanners allow ultra-low-dose scans with better sensitivity than standard radiography with an equivalent dose of radiation. In addition, the ultra-low-dose scanner helps prevent diagnostic errors and unintended treatments. A low-dose CT scan for suspected pneumonia has been possible in the Strasbourg emergency department since March 2019. The investigators therefore hypothesize that a diagnostic strategy involving the performance of a low dose CT scan in the event of suspicion of pneumopathy in the emergency room makes it possible to improve the adequacy of the diagnosis made by the initial imaging examination and the diagnosis on discharge from hospitalization, to reduce respiratory or hemodynamic complications and to reduce the prescription of antibiotic therapy that is not suitable for the patient. course of the imaging result validated by a panel of emergency physicians and infectious disease specialists based on medical records in accordance with the recommendations.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 2240
• Est. completion date: January 31, 2022
• Est. primary completion date: January 31, 2022
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion criteria:

• Major subject (=18 years old)

• Emergency consultant subject with a final diagnosis of pneumonia, diagnostic code J18 and J15 with imaging: standard radiography or low dose scanner from 03/01/2019 to 02/29/2020

• Subject not having expressed their opposition, after information, to the reuse of their data for the purposes of this research

Exclusion criteria:

• Subject having expressed opposition to participating in the study

• Absence of emergency imaging

• Subject under guardianship or guardianship

• Subject under safeguard of justice

Related Conditions & MeSH terms

• Pneumonia

Locations

Country	Name	City	State
France	Service d'Accueil des Urgences - Hôpitaux Universitaires de Strasbourg	Strasbourg

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Strasbourg, France

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Study of the imaging strategy for the management of patients with pneumonia in emergency departments		Files analysed retrospectively from March 01, 2019 to February 29, 2020 will be examined]