Acute Dyspnea
Conditions
Brief summary
This observational retrospective multi-center study focuses on patients treated for acute dyspnea by emergency medical teams. The primary objective is to identify factors associated with the risk of mortality and rehospitalization in these patients. This evaluation will be conducted both overall and within specific subgroups of interest, including gender (men/women), 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 aged 18 years and older. * Patients with acute dyspnea managed by a medical emergency team at the investigator centers between 2010 and 2021.
Exclusion criteria
\- Cardiorespiratory arrest before emergency department management.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause post-hospitalization mortality and rehospitalization | Within 5 years following hospital discharge | Composite endpoint of all-cause post-hospitalization mortality and rehospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post admission mortality | Within 20 years following hospital discharge | Assessed by: Composite criterion of rehospitalization and/or death following emergency department admission (short and long-term). with outcome 5. |
| Post admission rehospitalization | Within 20 years following hospital discharge | Assessed by: Composite criterion of rehospitalization and/or death following emergency department admission (short and long-term) with outcome with outcome 4. |
| Erroneous etiological diagnosis of dyspnea in the emergency department | Within hospital stay, maximum 21 days | Assessed by: defined as a discrepancy between the diagnosis at discharge from the emergency department and the final diagnosis in the hospital discharge letter |
| All-cause mortality and specific mortality (cardiovascular and non-cardiovascular). | Within 5 years following hospital discharge | Assessed by: Composite endpoint of all-cause mortality and specific mortality (cardiovascular and non-cardiovascular) with outcome 8 |
| Emergency post-admission mortality | Within 20 years following hospital discharge | Assessed by: Composite criterion of mortality and rehospitalization post-admission for acute dyspnea in the emergency department over the long term with outcome 9 |
| Proportion of readmissions (all-cause and specific - including hospitalization for acute dyspnea ). | 1 month and 1 year post admission for acute dyspnea in the emergency department | — |
| Duration of stay in the emergency department | Within hospital stay, maximum 21 days | Assessed by: Duration of stay in the emergency department |
| In-hospital mortality | Within hospital stay, maximum 21 days | Assessed by: In-hospital mortality |
| Length of hospital stay | Within hospital stay, maximum 21 days | Assessed by: Length of hospital stay |
| Post emergency admission (For dyspnea) mortality and rehospitalization | Within 5 years following hospital discharge | Assessed by: Post emergency admission (For dyspnea) mortality and rehospitalization |
| Emergency post-admission rehospitalisation | Within 20 years following hospital discharge | Assessed by: Composite criterion of mortality and rehospitalization post-admission for acute dyspnea in the emergency department over the long term outcome 8 |
Countries
France
Contacts
Primary ContactNicolas GIRERD, MD, PhD
Backup ContactTahar CHOUIHED, MD, PhD
Outcome results
None listed