Dyspnea
Conditions
Brief summary
This is an observational retrospective multi-center study in patients managed for acute dyspnea by Emergency department medical team. The main aim of the study is to evaluate factors associated with mortality risks in patients managed for acute dyspnea by an Emergency department medical team, overall, as well as in subgroups of interest (male/female, age categories, mode of admission and comorbidities).
Interventions
None listed
Sponsors
Pr. Nicolas GIRERD
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Man or women ≥ 18 years * Patients with acute dyspnea cared by a medical team of the emergencies of CHRU of Nancy, CHR Metz-Thionville and CH d'Epinal.
Exclusion criteria
* Cardiorespiratory arrest before medical management by the Emergency Department team * Adults under legal protection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality | Within 5 years following hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mismatch between diagnosis in the Emergency department and at discharge | Within hospital stay, maximum 21 days | Difference between the diagnosis reported in the Emergency department file and the diagnosis reported at hospital discharge. |
| Length of hospital stay | Within hospital stay, maximum 21 days | — |
| Administration of non-invasive ventilation | Within hospital stay, maximum 21 days | — |
| Timing of non-invasive ventilation | Within hospital stay, maximum 21 days | — |
| Administration of diuretics | Within hospital stay, maximum 21 days | — |
| Main diagnosis during the initial hospitalization | Within hospital stay, maximum 21 days | — |
| Post emergency admission | Within hospital stay, maximum 21 days | Type of department admitting the patient following emergency care (intensive care unit, cardiology unit, cardiac intensive care unit, post-emergency department, other...) |
| All-cause hospital mortality | Within hospital stay, maximum 30 days | — |
| Readmissions (all-cause and related to acute dyspnea) to the emergency department | Within 5 years after admission | — |
| Congestion score | Within 2 days of admission | Assessed by: Congestion score assessed on chest X-ray on admission to the emergency department. The congestion score ranges from 0 (indicating no congestion signs) to 3 (indicating intense congestion). |
| Timing of diuretics | Within hospital stay, maximum 21 days | — |
Countries
France
Contacts
Primary ContactGIRERD Nicolas
Outcome results
None listed