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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-A00100-45 | Other Identifier | RCB number |
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Inclusion curve too slow.
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The main objective of our study is to compare the effects of two care strategies for dyspneic patients on the length of hospital stay: (1) standard care (=contextual analysis + conventional clinical chest radiography) versus (2) standard care + pleuropulmonary ultrasound.
The secondary objectives of this study are to assess the following for both arms:
A-fatality rate, B-degree of concordance between the diagnosis orientation in the emergency department and final diagnosis determined by an expert committee using patient records one month later (blind evaluation by a panel of experts) C-clinical improvement between early emergency care and later care outside the emergency department (clinical parameters = blood gases and other biological parameters) D-imaging parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard care | Active Comparator | Patients randomized to this arm will receive standard care. Intervention: Standard care. |
|
| Standard care + ultrasound | Experimental | Patients randomized to this arm will receive standard care + pleuropulmonary ultrasound. Intervention: Standard care + ultrasound |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard care | Other | Standard care for dyspneic patients including contextual analysis, conventional clinical exam and a chest X-Ray. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay in days | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Patient deceased? yes/no | 1 month | |
| Diagnosis in the emergency room | upon discharge from the emergency department (max 1 month) | |
| Diagnosis given by expert committee based on patient file |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xavier Bobbia, MD | Centre Hospitalier Universitaire de NÄ«mes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |
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| ID | Term |
|---|---|
| D004417 | Dyspnea |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI) | Device | Standard care (as described for the other intervention) + pleuropulmonary ultrasound using the Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI). |
|
| 1 month |
| Glasgow scale | Baseline, day 0 |
| Glasgow scale | day 3 |
| Heart rate | baseline, day 0 |
| Heart rate | day 3 |
| Respiratory rate | baseline, day 0 |
| Respiratory rate | day 3 |
| Systolic blood pressure | baseline, day 0 |
| Systolic blood pressure | day 3 |
| Diastolic blood pressure | baseline, day 0 |
| Diastolic blood pressure | day 3 |
| Temperature | baseline, day 0 |
| Temperature | day 3 |
| blood pH | baseline, day 0 |
| blood pH | day 3 |
| CO2 arterial pressure | baseline, day 0 |
| CO2 arterial pressure | day 3 |
| O2 arterial pressure | baseline, day 0 |
| O2 arterial pressure | day 3 |
| O2 saturation | baseline, day 0 |
| O2 saturation | day 3 |
| Alkaline reserve | baseline, day 0 |
| Alkaline reserve | day 3 |
| white blood cell count | baseline, day 0 |
| white blood cell count | day 3 |
| C-reactive protein | baseline, day 0 |
| C-reactive protein | day 3 |
| Brain Natriuretic Peptide | baseline, day 0 |
| Brain Natriuretic Peptide | day 3 |
| hemoglobin | baseline, day 0 |
| hemoglobin | day 3 |
| Pulmonary x-ray, yes/no | baseline, day 0 |
| right alveolar opacities on x-ray, yes/no | baseline, day 0 |
| left alveolar opacities on x-ray, yes/no | baseline, day 0 |
| right parenchymal origin on x-ray, yes/no | baseline, day 0 |
| left parenchymal origin on x-ray, yes/no | baseline, day 0 |
| right pleural effusion on x-ray, yes/no | baseline, day 0 |
| left pleural effusion on x-ray, yes/no | baseline, day 0 |
| pleuropulmonary ultrasound, yes/no | baseline, day 0 |
| right alveolar-interstitial syndrome on ultrasound, yes/no | baseline, day 0 |
| left alveolar-interstitial syndrome on ultrasound, yes/no | baseline, day 0 |
| right lung consolidation on ultrasound, yes/no | baseline, day 0 |
| left lung consolidation on ultrasound, yes/no | baseline, day 0 |
| right pleural effusion on ultrasound, yes/no | baseline, day 0 |
| left pleural effusion on ultrasound, yes/no | baseline, day 0 |
| right pneumothorax on ultrasound, yes/no | baseline, day 0 |
| left pneumothorax on ultrasound, yes/no | baseline, day 0 |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |