Diagnostic Value of Portable Ultrasound for Dyspneic Patient Support in the Emergency Department (VSCAN-DYSP)

Centre Hospitalier Universitaire de Nīmes

Status: Terminated

Conditions: Dyspnea

Treatments: Other: Standard care; Device: Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI)

Study type: Interventional

Funder types: Other

Identifiers

NCT01818882

2013-A00100-45 (Other Identifier)

LOCAL/2012/XB-01

Details and patient eligibility

About

The main objective of our study is to compare the effects of two care strategies for dyspneic patients on the length of hospital stay: (1) standard care (=contextual analysis + conventional clinical chest radiography) versus (2) standard care + pleuropulmonary ultrasound.

Full description

The secondary objectives of this study are to assess the following for both arms:

A-fatality rate, B-degree of concordance between the diagnosis orientation in the emergency department and final diagnosis determined by an expert committee using patient records one month later (blind evaluation by a panel of experts) C-clinical improvement between early emergency care and later care outside the emergency department (clinical parameters = blood gases and other biological parameters) D-imaging parameters.

Enrollment: 85 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The patient must have given his/her informed and signed consent
• The patient must be insured or beneficiary of a health insurance plan
• Patient consulting in the emergency department for dyspnea

Exclusion criteria

• The patient is participating in another study
• The patient is in an exclusion period determined by a previous study
• The patient is under judicial protection, under tutorship or curatorship
• The patient refuses to sign the consent
• It is impossible to correctly inform the patient
• The patient cannot read French
• The patient is pregnant, parturient, or breastfeeding

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

85 participants in 2 patient groups

Standard care

Active Comparator group

Description:

Patients randomized to this arm will receive standard care. Intervention: Standard care.

Treatment:

Other: Standard care

Standard care + ultrasound

Experimental group

Description:

Patients randomized to this arm will receive standard care + pleuropulmonary ultrasound. Intervention: Standard care + ultrasound

Treatment:

Device: Vscan portable ultrasound device (GE Healthcare, Wauwatosa, WI)

Other: Standard care