Influence of Diagnostic Errors on the Prognosis of Acute Pulmonary Embolism (IDEA-PE)

European Georges Pompidou Hospital

Status: Unknown

Conditions: Pulmonary Embolism; Embolism; Pulmonary Vascular Disorder; Diagnostic Errors; Pulmonary Embolism and Thrombosis

Treatments: Other: Diagnostic error

Study type: Observational

Funder types: Other

Identifiers

NCT03101384

N° ID RCB : 2017-A00433-50

Details and patient eligibility

About

Diagnostic errors have been reported frequently in patient with pulmonary embolism since symptoms are not specific. However, there is only scarce evidence that the delay associated with diagnostic errors may impact patient prognosis. The aim of this study is to determine the frequency of diagnostic errors and if they are associated with more severe pulmonary embolism in term of initial presentation and complications.

Enrollment: 302 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years and older
• Episode of symptomatic acute pulmonary embolism objectively proven

Exclusion criteria

• Below 18 years of age
• Patient chronically receiving therapeutic anticoagulation
• Pulmonary embolism complicating a current hospitalisation for another medical reason
• Asymptomatic pulmonary embolism

Trial design

302 participants in 2 patient groups

Patient with a diagnostic error

Description:

Defined by one of : 1. Absence of prescribed test included in an accepted pulmonary diagnosis algorithm in the next 48h00 after the firts contact with a physician 2. Absence of prescribed test included in an accepted pulmonary diagnosis algorithm by the first contacted physician but the diagnostic is done before 48h00 because the patient went at the emergency room on his own initiative. 3. More than one doctor consulted before the diagnostic of pulmonary embolism (excluding the emergency physician if the patient was referred by the 1st contact doctor)

Treatment:

Other: Diagnostic error

Patient without a diagnostic error

Description:

Any patient that did not meet the criteria to define the diagnostic error