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Completed

NCT Number: NCT04029051

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

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

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Key information

Conditions

Dyspnea Pathological Conditions, Signs and Symptoms Respiration Disorders Respiratory Tract Diseases Signs and Symptoms Signs and Symptoms, Respiratory

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Nantes University Hospital

Nantes, 44093, France

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Focus thoracic ultrasound for dyspnea diagnosis

Other

Focus thoracic ultrasound is composed by an advanced cardiac ultrasound with Doppler measures and a lung ultrasound.

Primary outcomes

  1. main objective

    Time frame: 3 years

    Concordance between initial diagnosis after standard care, after thoracic ultrasound in comparison with the reference stated by the adjudication committee

Secondary outcomes

  1. Frequency

    Time frame: 3 years

    Frequency of each diagnosis in elderly patients consulting in the emergency department

  2. mortality

    Time frame: 3 years

    Assessing hospital mortality in elderly patients consulting at the emergency department

Sponsors and collaborators

Lead sponsor

Nantes University Hospital

Other

Registry information

Official study title

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

Acronym: echoelderly

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Jul 23, 2019
Registry last updated
Jul 23, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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