A Check-list Including Lung Ultrasound for ED Patients With ARF (CHECKIRA-COVID)

Centre Hospitalier Metropole Savoie

Status: Completed

Conditions: Acute Respiratory Failure

Treatments: Other: check-list including lung ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT04791241

CHMS20005

Details and patient eligibility

About

The aim of the study is to evaluate if a check-list including lung ultrasonography can help to identify the etiology of the acute respiratory failure of patients managed at the emergency room.

Adult patients admitted to the emergency room for acute respiratory failure will be offered the study. The emergency physician will perform a systematic examination using a checklist, including pulmonary embolism prediction scores, structured clinical examination and lung ultrasound, in order to establish a diagnostic hypothesis.

A diagnostic hypothesis will be made after completion of the checklist. The emergency physician can perform additional examinations and treatment after completion of the checklist.

The final diagnosis will be checked by an adjudication committee which will have all the documents established during the emergency room consultation and any hospitalization following this hospitalization.

The main outcome will be the concordance rate between the diagnosis after the check-list and the final diagnosis.

Enrollment: 105 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with acute respiratory failure table (SpO2 90% in ambient air or need more than 3 L/min of oxygen to have SpO2 > 92% AND/OR signs of respiratory struggle sign AND/OR respiratory rate control > 25 cycles/minute AND/OR cyanosis)
• Over 18 years old

Exclusion criteria

• Pregnant, Parturising or Breastfeeding Women
• Patient who has already participated in the study in the previous 7 days

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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105 participants in 1 patient group

check-list with ultrasound

Experimental group

Description:

check-list including lung ultrasound for the management of patients with acute respiratory failure at the emergency department during the COVID-19 era

Treatment:

Other: check-list including lung ultrasound