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NCT Number: NCT01910233

Registry of Patients With Acute Dyspnea in the Emergency Department

This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg. There is evidence that acute dyspnea is associated with a mortality rate of 10%, however acute dyspnea is not perceived as a life-threatening condition, both in public and in health care providers. Our aim is to describe the patient collective concerning their demographics, baseline characteristics, type of referral and disposition, medical care processes and prognosis. Secondly, we want to evaluate if the subjective risk assessment of emergency department personnel matches with objective risk stratification tools and the actual outcome of the studied patients.

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Key information

Conditions

Dyspnea COPD Cardiovascular Diseases Chronic Disease Disease Attributes Emergencies Heart Diseases Heart Failure Lung Diseases Lung Diseases, Obstructive Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Disease, Chronic Obstructive Respiration Disorders Respiratory Tract Diseases Signs and Symptoms Signs and Symptoms, Respiratory

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Emergency and Critical Care Medicine, City Hospital Nuremberg

Nuremberg, Bavaria, 90471, Germany

About this study

This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg during May 23th 2013 and October 31th 2013. To be included into the registry the patient has to express acute dyspnea. Minor patients are not included. The admission documents of the studied patients are accompanied by a questionnaire that has to be completed by the triage nurse and the attending physician. The questionnaire includes items like professional experience and subjective assessment of patient's prognosis. In addition the attending physician has to state if the evaluation of medical history was difficult, if previous medication is known and how likely the presence of heart failure as underlying condition is. Data of the questionnaire, the patient record and the follow up contacts are entered in a SPSS database. Finally, we measure the OPTIMIZE-HF score (Abraham et al. 2008) and the PRIDE mortality score (Baggish et al. 2007) in a retrospective manner in order to compare the subjective assessments with objective criteria.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • expression of acute dyspnea in the emergency department

Exclusion criteria

  • age < 18 years

Treatment and study plan

Primary outcomes

  1. all cause mortality

    Time frame: 6 months

Secondary outcomes

  1. demographics and baseline characteristics

    Time frame: 1 month

    baseline characteristics as for example vital signs, medication, underlying disease condition (adjusted final diagnosis), medical history, concomitant diseases

  2. medical care processes

    Time frame: 1 day

    type of referral, disposition patterns, diagnostic and therapeutical measures

  3. subjective and objective risk assessment

    Time frame: 1 month

    data from the questionnaire completed by triage nurse and attending physician, OPTIMIZE-HF and PRIDE mortality score

Sponsors and collaborators

Lead sponsor

Klinikum Nürnberg

Other

Registry information

Official study title

Prospective Registry for Quality Assurance of Medical Care of Patients With Acute Dyspnea in the Emergency Department

Important dates

Study start
2013
Primary completion
2015
Study completion
2015
First posted
Jul 29, 2013
Registry last updated
Apr 1, 2016

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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