Chest X-ray in Diagnosis of Heart Failure

Comparison Between a Senior and a Junior Interpretation of a Chest X-ray in the Diagnosis of Heart Failure

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05135338

Enrollment

1000

Registered

2021-11-26

Start date

2018-01-21

Completion date

2020-12-21

Last updated

2021-11-26

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

Conditions

Chest X-ray ; Heart Failure

Keywords

chest x-ray, heart failure, diagnosis, senior, non-senior

Brief summary

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.

Detailed description

Acute cardiac insufficiency (ICA) is a leading cause of acute dyspnea in the emergency department (SU) and is associated with a higher risk of morbidity and mortality. 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.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 90 Years

Healthy volunteers

Yes

Inclusion criteria

* Age over 18 All dyspnea acute non-traumatic A resident or intern in medicine and a senior are available to read chest x-ray within 24 hours of admission

Exclusion criteria

* Age under 18 * 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.

Design outcomes

Primary

Measure	Time frame	Description
The reproductibility of chest x-ray in the diagnosis of heart failure	0 days	Comparison of the two answers of a senior and non -senior emergency physician chest x- ray interpretation in the probability of heart failure diagnosis .

Countries

Tunisia

Outcome results