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OpenTrials
Completed

NCT Number: NCT02638350

Performance Evaluation of Clinical Ultrasound in Management of Acute Pulmonary Edema in Elderly Patient

The main objective is to assess the validation of the diagnosis early acute pulmonary edema in elderly patients with acute respiratory distress, admitted in a host of vital emergency services by lung ultrasound associated with the measurement of the inferior vena cava.

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Key information

Conditions

Pulmonary Edema Lung Diseases Respiration Disorders Respiratory Distress Syndrome Respiratory Tract Diseases

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Toulouse

Toulouse, Midi Pyrenees, 31059, France

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient with compatible episode with acute edema (tachypnea with respiratory rate> 25/min and/or oxygen saturation on room air <90%, auscultation, dyspnea, sudden onset of symptoms)

Exclusion criteria

  • Vital signs of distress requiring intubation tracheal immediately
  • Myocardial infarction lower seat with extension to the right ventricle, in the acute phase

Treatment and study plan

Strategy with lung ultrasound

Device

Each patient admitted for suspicion of acute lung edema will be treated according to the protocol of the emergency department.

Another doctor will independently do a lung ultrasound and measurement of the inferior vena cava. The ultrasound results are not made available to the doctor in charge of the patient.

At the end of the study, all the files will be analyzed by a independent committee, blinded ultrasound results for the final diagnosis of acute pulmonary edema.

Primary outcomes

  1. The result of lung ultrasound associated with the measurement of the inferior vena cava.

    Time frame: 2 hours

    Confirm the diagnosis of acute pulmonary edema associated with lung ultrasound to measure the inferior vena cava in patients aged over 65 years in acute respiratory distress, admitted to a service life-threatening emergencies.

    By checking the results of the ultrasound done by a different doctor from the one who took care of the patient.

Secondary outcomes

  1. Number of the proportion of appropriate and inappropriate treatment.

    Time frame: 2 hours

    Comparison of specific treatments begun to emergency, as defined by the latest recommendations of Cardiology and Pneumology companies compared to the treatment that would have been given over the results of pulmonary ultrasound.

  2. The duration of the medical care.

    Time frame: 2 hours

    The time between the patient support and the final diagnosis.

Sponsors and collaborators

Lead sponsor

University Hospital, Toulouse

Other

Registry information

Official study title

Performance Evaluation of Clinical Ultrasound in Management of Acute Pulmonary Edema in Elderly Patient Over 65 Years, Admitted to a Host of Vital Emergency Services

Acronym: ECHOP

Important dates

Study start
2015
Primary completion
2019
Study completion
2019
First posted
Dec 23, 2015
Registry last updated
Jun 7, 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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