The Epidemiology and Approach to Differentiating Etiologies of Shock in the Emergency Department
NCT ID: NCT02164799
Last Updated: 2014-06-17
Study Results
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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COMPLETED
2500 participants
OBSERVATIONAL
2012-11-30
Brief Summary
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Detailed Description
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Specific Aim #2: To determine the accuracy of physician diagnosis for the underlying etiology of shock.
Hypothesis 2: Physician assessment of the underlying cause of shock is challenging and often inaccurate in the early stages of care in the emergency department.
Specific Aim #3: To optimize the evidence-based approach to assist in the diagnosis of shock etiology from elements readily available when a patient demonstrates shock physiology in the Emergency Department.
Hypothesis 3: An evidenced-based, standardized approach to clinical decision making integrating elements of the history, physical exam, and early testing will improve a physician's ability to accurately differentiate etiologies of shock.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Shock
Patients found to have persistent hypotension after resuscitation or vasopressor requirement
No interventions assigned to this group
Pre-shock
Patients with markedly abnormal vital signs (Heart Rate (HR)\>130, Respiratory Rate (RR)\>24, Shock Index \>1, Lactate \> 4.0mmol/L, or Systolic Blood Pressure (SBP) \<90mm/hg) without shock, as defined previously.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* For pre-shock cohort: HR \> 130, RR\>24, Shock index \> 1, lactate \> 4.0mmol/L, SBP \< 90mm/hg)
* For shock cohort: persistent blood pressure \<90mm/hg after resuscitation
Exclusion Criteria
* isolated atrial fibrillation with discharge after rate control achieved
* discharged from the emergency department
* intoxication or withdrawal
18 Years
ALL
No
Sponsors
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Beth Israel Deaconess Medical Center
OTHER
Responsible Party
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Daniel Henning
Instructor of Medicine
Other Identifiers
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2012P-000357
Identifier Type: -
Identifier Source: org_study_id
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