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Arterial pH Selectively Predicts Intensive Care Unit Transfer From the Emergency Department in Obese Patients With Acute Dyspnea

Arterial pH Selectively Predicts ICU Transfer in Obese Patients With Acute Dyspnea Presenting to the Emergency Department: a Prospective Comparative Cohort Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03239730
Enrollment
400
Registered
2017-08-04
Start date
2013-05-23
Completion date
2014-05-30
Last updated
2017-08-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dyspnea, Respiratory Failure

Keywords

dyspnea, pH, blood gas analysis, emergency department, Intensive care unit

Brief summary

This study evaluates the prognostic value of arterial blood gas analysis in a cohort of Emergency Department patients presenting with shortness of breath of any cause, comparing obese and non-obese patients.

Detailed description

Factors associated with admission to intensive care unit (ICU) or ED mortality before transfer to the ICU are analyzed in obese (BMI ≥ 30kg.m-2) and non-obese patients subgroups.

Interventions

None listed

Sponsors

University Hospital, Montpellier
CollaboratorOTHER
Association pour la Formation du Personnel à la Medecine d'Urgence
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* patients who presented with acute dyspnea in the ED * patients who had an ABG analysis as part of the ED standard management

Exclusion criteria

* Patients with treatment limitation decisions made by the medical teams against ICU admission, including severe cognitive impairment or palliative care , * Patients with immediate transfer to ICU due to shock and hemodynamic instability at ED admission

Design outcomes

Primary

MeasureTime frameDescription
Composite of admission to the ICU or in ED mortality before ICU admissionup to 1 day (direct admission to ICU from ED)Admission to the ICU following ED management will be at the discretion of the attending ICU physician, and in agreement with current guidelines for ICU admission, according to standard management

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026