Arterial pH Selectively Predicts Intensive Care Unit Transfer From the Emergency Department in Obese Patients With Acute Dyspnea

Association pour la Formation du Personnel à la Medecine d'Urgence

Status: Completed

Conditions: Respiratory Failure; Dyspnea

Study type: Observational

Funder types: Other

Identifiers

NCT03239730

pH acute dyspnea

Details and patient eligibility

About

This study evaluates the prognostic value of arterial blood gas analysis in a cohort of Emergency Department patients presenting with shortness of breath of any cause, comparing obese and non-obese patients.

Full description

Factors associated with admission to intensive care unit (ICU) or ED mortality before transfer to the ICU are analyzed in obese (BMI ≥ 30kg.m-2) and non-obese patients subgroups.

Enrollment: 400 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who presented with acute dyspnea in the ED
• patients who had an ABG analysis as part of the ED standard management

Exclusion criteria

• Patients with treatment limitation decisions made by the medical teams against ICU admission, including severe cognitive impairment or palliative care ,
• Patients with immediate transfer to ICU due to shock and hemodynamic instability at ED admission