POCUS VS CT in Diagnosis of Acute Dyspnea in Chronic Hemodialysis Patients

NCT ID: NCT05729035

Last Updated: 2023-02-15

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-02-28
• Study Completion Date: 2024-04-30

Brief Summary

Estimate the predictive value of POCUS in diagnosis of different causes of acute dyspnea in hemodialysis patients and compare between POCUS and CT in differentiation the causes of acute dyspnea in those population.

Detailed Description

Dyspnea is "a subjective experience of breathing discomfort that consists of qualitatively dis-tinct sensations that vary in intensity.Dyspnea is a common symptom both in general practice and in hospital emergency rooms. It has been reported that 7.4% of patients presenting to emergency rooms complain of dyspnea;among patients in general practice, 10% complain of dyspnea when walking on flat ground and 25% complain of dyspnea on more intense exertion, e.g., climbing stairs.Dyspnea is considered acute when it develops over hours to days.Acute breathlessness in haemodialysis patients can be caused by various conditions such as acute coronary syndrome, catheter-related infection, pneumonia and pericardial effusion, as well as a reaction to the dialyser or medication given during dialysis Hence, clinical acumen remains integral in evaluation of acute breathlessness in this group of patients. Point of Care Ultrasound is complementary to a medical examination performed by primary care physicians in conjunction to physical examination to investigate unclear findings. As such it is used to find and identify either the presence or absence of specific pathological results seen in your patients.

Conditions

Dyspnea; Chronic Renal Failure

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: CROSS_SECTIONAL

Interventions

POCUS

Point of Care Ultrasound is complementary to a medical examination performed by primary care physicians

Intervention Type: RADIATION

Other Intervention Names

CT chest

Eligibility Criteria

Inclusion Criteria

• All patients maintained on regular hemodialysis equal to / more than 6 months admitted to emergency department and ICU of Internal Medicine Department from September 2021 to August 2022 presented by acute dyspnea.

Exclusion Criteria

• • Age less than 18

• Diagnosed chronic pulmonary disease.
• Severe heart failure (NYHA class IV).
• Active malignancy.
• Pregnancy.
• Hepatic Failure (Child B,C).
• Comatosed Patients.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Randa Ahmed Sarhan

OTHER

Sponsor Role: lead

Responsible Party

Randa Ahmed Sarhan

Assistant Lecturer

Responsibility Role: SPONSOR_INVESTIGATOR

Central Contacts

Randa Ahmed Sarhan

Role: CONTACT

randaahmedsarhan@gmail.com

01118683728

Asharaf EL-shazly EL-shazly

Role: CONTACT

01062879221

References

Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018 Jun;18(3):219-224. doi: 10.7861/clinmedicine.18-3-219.

Reference Type: BACKGROUND

PMID: 29858431 (View on PubMed)

Li L, Yong RJ, Kaye AD, Urman RD. Perioperative Point of Care Ultrasound (POCUS) for Anesthesiologists: an Overview. Curr Pain Headache Rep. 2020 Mar 21;24(5):20. doi: 10.1007/s11916-020-0847-0.

Reference Type: BACKGROUND

PMID: 32200432 (View on PubMed)

Rice JA, Brewer J, Speaks T, Choi C, Lahsaei P, Romito BT. The POCUS Consult: How Point of Care Ultrasound Helps Guide Medical Decision Making. Int J Gen Med. 2021 Dec 15;14:9789-9806. doi: 10.2147/IJGM.S339476. eCollection 2021.

Reference Type: BACKGROUND

PMID: 34938102 (View on PubMed)

Other Identifiers

POCUS VS CT chest

Identifier Type: -

Identifier Source: org_study_id