Diagnostic Errors, Embolism, Pulmonary Embolism, Pulmonary Embolism and Thrombosis, Pulmonary Vascular Disorder
Conditions
Brief summary
Diagnostic errors have been reported frequently in patient with pulmonary embolism since symptoms are not specific. However, there is only scarce evidence that the delay associated with diagnostic errors may impact patient prognosis. The aim of this study is to determine the frequency of diagnostic errors and if they are associated with more severe pulmonary embolism in term of initial presentation and complications.
Interventions
OTHERDiagnostic error
There is no intervention in our study. Patient will be managed with usual care. We will divide patients in the 2 groups according to the presence of diagnostic error.
Sponsors
European Georges Pompidou Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years and older * Episode of symptomatic acute pulmonary embolism objectively proven
Exclusion criteria
* Below 18 years of age * Patient chronically receiving therapeutic anticoagulation * Pulmonary embolism complicating a current hospitalisation for another medical reason * Asymptomatic pulmonary embolism
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severity of pulmonary embolism at the time of diagnosis | Day 1 | According to the 2014 Europe Society of Cardiology classification that combine clinical characteristics, signs of right ventricular dysfunction on imaging test and cardiac laboratory biomarkers |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication of pulmonary embolism | Day 30 and 180 | Composite of death, shock and recurrence |
| Frequency of diagnostic errors | Day 1 | Frequency of diagnostic errors |
| Characteristic of patient with diagnosis errors | Day 30 | Characteristic of patient with diagnosis errors |
Countries
France
Contacts
Primary ContactGuy Meyer, Pr
Backup ContactBenoit Côté, Md
Outcome results
None listed