Pneumonia
Conditions
Brief summary
Create a clinical diagnostic pathway for older ED adults with pneumonia and its subgroups (bacterial, viral, and co-infection) and determine whether novel biomarkers improve diagnostic accuracy. The investigators will conduct a prospective observational trial of 250 ED patients ≥65 years old with suspected pneumonia. The investigators will perform analyses overall and by subgroups, seeking common models to ease adoption.
Interventions
None listed
Sponsors
Ohio State University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Adults aged 65 and older presenting to the ED with suspected pneumonia defined as (1) either a physician order for CXR OR CT OR a chief complaint consistent with dyspnea; AND (2) physician suspicion of pneumonia prior to ED testing (score of 2-5 on Likert scale)
Exclusion criteria
* inability to obtain consent from the patient or an LAR * active cancer * organ transplant * immunosuppression * trauma activation * suicidal ideation * incarceration * antibiotics in the last 14 days * a separate episode of lower respiratory illness in the last 30 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pneumonia | 3 years | Presence or absence of pneumonia based on adjudicator review of chart. The goal of the study is to create a diagnostic pathway for pneumonia in older adult emergency department patients. |
Countries
United States
Contacts
CONTACTMichael Hill, RN
Outcome results
None listed