Prevalence of Pulmonary Embolism in Patients With Dyspnea on Exertion (PEDIS)

Pulmonary Embolism Clinical Trial

— PEDIS  

Official title:

Prevalence of Pulmonary Embolism (PE) Among Patients Referred to Emergency Departments for Dyspnea on Exertion

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04454554
• Other study ID #: FAA O4 5-2018 (PEDIS)
• Status: Completed
• Start date: September 24, 2018
• Est. completion date: January 30, 2021

Study information

• Verified date: March 2021
• Source: Arianna Anticoagulazione Foundation
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

PEDIS Study is an observational, cross-sectional, multicenter Italian study conducted in a consecutive series of patients who refer to the Emergency Departments (either spontaneously or sent by their attending physicians) for the recent (less than one months) development of exertional dyspnea. The general aim of the study is to assess the prevalence of PE in the overall population referring to the Emergency Departments without potential explanations for dyspnea

Description:

PEDIS Study is an observational, cross-sectional, multicenter and no Profit Study. 600 consecutive patients referring to the Emergency Departments of the participating centers because they have developed one or more episodes of exertional dyspnea since less than one month will be enrolled. All eligible patients will be interviewed and examined by trained study physicians. The presence of already known potential explanations for the dyspnea will be assessed. In addition, symptoms of the lower extremities will be elicited, as well as the presence of risk factors for venous thromboembolism (VTE). The presence or absence of pulmonary embolism will be assessed with the use of a validated algorithm based on pre-test clinical probability and D-dimer result. In patients in whom the pre-test clinical probability is low and the D-dimer result is negative, no further testing will be done, and PE will be considered excluded. In patients with high clinical probability, positive D-dimer result, or both, computed tomography (CT) pulmonary angiography will be performed The primary study objective is to evaluate Prevalence of PE in the overall population

Recruitment information / eligibility

• Status: Completed
• Enrollment: 400
• Est. completion date: January 30, 2021
• Est. primary completion date: December 24, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• Age older than 18 and younger than 75
• Recent (less than one month) development of exertional dyspnea
• Able to provide informed consent

Exclusion Criteria:

• Anticoagulation required for other indications
• Contraindication to CT angiography (allergy to the contrast dye, severe renal failure [creatinine clearance < 30 ml/min])
• Involvement in simultaneous clinical trials
• Unable to provide their written informed consent

Related Conditions & MeSH terms

• Dyspnea
• Embolism
• Pulmonary Embolism

Locations

Country	Name	City	State
Italy	Azienda Ospedalier di Cosenza "SS.Annunziata"	Cosenza

Sponsors (1)

Lead Sponsor	Collaborator
Arianna Anticoagulazione Foundation

Country where clinical trial is conducted

Italy, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Prevalence of PE in the overall population	Prevalence of Pulmonary Embolism in patient with high pre-test clinical probability and/or positive D-dimer without potential explanations for the dyspnea who underwent computed tomography pulmonary angiography	From the first day of enrollment up to 104 weeks