Diagnostic Value of Portable Ultrasound for Dyspneic Patient Support in the Emergency Department

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2016-01-31

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Dyspnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Standard care

Patients randomized to this arm will receive standard care.

Intervention: Standard care.

Group Type ACTIVE_COMPARATOR

Standard care

Intervention Type OTHER

Standard care for dyspneic patients including contextual analysis, conventional clinical exam and a chest X-Ray.

Standard care + ultrasound

Patients randomized to this arm will receive standard care + pleuropulmonary ultrasound.

Intervention: Standard care + ultrasound

Group Type EXPERIMENTAL

Standard care

Intervention Type OTHER

Standard care for dyspneic patients including contextual analysis, conventional clinical exam and a chest X-Ray.

Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI)

Intervention Type DEVICE

Standard care (as described for the other intervention) + pleuropulmonary ultrasound using the Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI).

Interventions

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Standard care

Standard care for dyspneic patients including contextual analysis, conventional clinical exam and a chest X-Ray.

Intervention Type OTHER

Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI)

Standard care (as described for the other intervention) + pleuropulmonary ultrasound using the Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* The patient must have given his/her informed and signed consent
* The patient must be insured or beneficiary of a health insurance plan
* Patient consulting in the emergency department for dyspnea

Exclusion Criteria

* The patient is participating in another study
* The patient is in an exclusion period determined by a previous study
* The patient is under judicial protection, under tutorship or curatorship
* The patient refuses to sign the consent
* It is impossible to correctly inform the patient
* The patient cannot read French
* The patient is pregnant, parturient, or breastfeeding

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No