Pneumonia
Conditions
Keywords
Pneumonia, Pleuropulmonary ultrasound, Antibiotic
Brief summary
Pneumonia is a common pathology with significant morbidity and mortality. It is recommended in his diagnostic approach to perform either a chest X-ray or a pleuropulmonary ultrasound. Previous studies have shown the advantages of ultrasound in terms of diagnostic performance cost and patient irradiation. However, it remains little used in clinical practice.
Detailed description
The study will be conducted in the Emergency Department of grenoble University Hospital. Patient admitted to the emergency department for respiratory symptoms (cough, fever, and/or dyspnea) will be enrolled in the study according to the inclusion and non-inclusion criteria and after obtaining his consent. The investigator will perform the pleuropulmonary ultrasound following the clinical examination carried out by the physician in charge of the patient. The patient's care is unaffected by the pleuropulmonary ultrasound's outcome, which is unknown to the physician in charge of the patient. Data collection after the patient's discharge from the emergency department.
Interventions
PROCEDUREPleuropulmonary ultrasound performed by the investigator for patient with suspicion od Pneumonia
In addition to the traditional management done by the physician at the patient's expense (such as clinical examination and paraclinical examinations like biology, chest X-ray, etc.), the investigator will perform pleuropulmonary ultrasound.
Sponsors
University Hospital, Grenoble
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient over 18 years admitted the the emergency department of Grenoble Alpes University Hospital with respiratory symptoms (cough and/or dyspnea, fever). * No objection by the subject to the study * Affiliated to the french social security system (or equivalent)
Exclusion criteria
* Patient admitted to a life-threatening emergency * Patient already on antibiotic therapy on admission * Patient excluded from another study * Patient with respiratory signs following chest trauma * Unable to communicate or non-french speaking patients or those with impaired comprehension or consciousness * Protected persons referred to in articles L1121-6 and L1121-8 of French public health code (deprived of liberty, tutorship or curatorship) * The patient already enrolled in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time between the antibiotic prescription and the pleuropulmonary ultrasonography used to detect pneumonia | 1 hour | Time between the antibiotic prescription and the pleuropulmonary ultrasonography used to detect pneumonia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calculation of the predictive values of the pleuropulmonary ultrasound for pneumonia diagnosis | 1 day | Calculation of the predictive values of the pleuropulmonary ultrasound for pneumonia diagnosis: area under the curve, sensitivity, specificity, positive predictive value, negative predictive value. |
| duration of performing the pleuropulmonary ultrasound | 5 minutes | duration of performing the pleuropulmonary ultrasound |
| Time between the patient's admission to the emergency department and the completion of the pleuropulmonary ultrasound | 1 hour | Time between the patient's admission to the emergency department and the completion of the pleuropulmonary ultrasound |
| 4. Time between the performance of the pleuropulmonary ultrasound and the performance of the chest X-ray | 2 hours | 4\. Time between the performance of the pleuropulmonary ultrasound and the performance of the chest X-ray |
Contacts
CONTACTAlice GREMBER, MD
CONTACTMarcelline BUFFIN
PRINCIPAL_INVESTIGATORAlice GREMBER, MD
University Hospital, Grenoble
Outcome results
None listed