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
1000 participants
OBSERVATIONAL
2018-01-21
2020-12-21
Brief Summary
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Detailed Description
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An increasing number of tools for better ICA diagnosis are available in the SUs. However, there is likely room to improve the ICA diagnostic approach using widely available routine tools, including chest x-ray .
Chest x-ray is a rapid and inexpensive method that is routinely performed in an emergency in patients with acute dyspnea. This is the first-line diagnostic imaging modality recommended in the guidelines.
The objective of this study is to compare the performance of x-chest ray in the diagnosis of acute cardiac insuficiency through the interpretation of a senior and a non-senior.
A senior emergency physician or resident and an intern, perform a reading of chest x-ray in any included patient by answering to following questions:
Is there cardiomegaly? Calculation of the cardio-thoracic index Is there a vascular distribution towards the vertices, if so is it uni or bilateral? Is there pleurisy, if so is it uni or bilateral? Is there an interstitial syndrome, if so is it uni or bilateral? Is there an alveolar syndrome, if so if so is it single or bilateral? Is the diagnosis of heart failure very likely, likely or unlikely? Then there will be a comparison of the two answers.
Conditions
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Keywords
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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answer 1
a senior emergency physician on interpretation of chest x-ray and blinded to the final diagnosis .
No interventions assigned to this group
answer 2
a resident or an intern interpretation of chest x-ray and blinded to the final diagnosis
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Post traumatic dyspnea
* Patient not requiring hospitalization
* Mechanical ventilation from the start
* Cardio-respiratory arrest
* Pregnant woman
* And any patient who cannot achieve reproducibility within 24 hours of admission.
18 Years
90 Years
ALL
Yes
Sponsors
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University of Monastir
OTHER
Responsible Party
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Pr. Semir Nouira
chief of the Emergency departement in CHU fattouma Bourguiba Monastir , PhD
Principal Investigators
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Nouira Semir, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Monastir
Locations
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Fattouma Bourguiba Monastir University Hospital Center
Monastir, , Tunisia
Countries
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Other Identifiers
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Chest-X-ray/HF
Identifier Type: -
Identifier Source: org_study_id