Pulmonary Disease, Chronic Obstructive Patients Admitted in Emergency Department for Acute Exacerbation
Conditions
Keywords
AECOPD Mr ProADM Biomarkers ER Outcome
Brief summary
The purpose of this study is to determine whether pro-adrenomedullin (Mr proADM)in addition to clinical evaluation is effective to predict outcome of acute exacerbations of COPD patients visiting the emergency room(ER).
Detailed description
Acute exacerbation of COPD (AECOPD)are usual and frequent cause of admission in emergency room (ER). No validated clinical or biological predictor of evolution are available. The main objective is to determine the prognosis value of Mr proADM in addition to the clinical risk stratification for AE COPD patients in ER. Patients presenting with a AECOPD diagnosis in ER will have a blood sample collected and freezed at their admission. Mr proADM will be assessed at the end of the study. Clinicians in charge of patients will not have the result during the management of their patients. This study implies no change in the patients' management. Data related to the patients'demographic,current exacerbation and basic COPD characteristics will be collected.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patients \> 40 years old * Acute exacerbation of COPD
Exclusion criteria
* Medico social conditions not allowing home discharge * Other causes of Dyspnea: Pneumothorax, pulmonary embolism, pulmonary oedema, lung cancer * Pneumonia on chest ray * acute respiratory distress requiring immediate ICU transfer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| composite outcome measure | at Day 30 | Death, subsequently transfer to ICU, relapse, need to be ventilated after 24 hours of their admission in ER |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| composite outcome | at Day 7 of ER admission | Death, subsequently transfer to ICU, relapse, need to be ventilated after 24 hours of their admission in ER |
| correlation between Mr proADM and patients Severity | at Day 7 and Day 30 of ED admission | Correlation between MR proADM and patient's severity |
Countries
France