Thoracic Ultrasound in the Treatment of Pleural Effusion (ECHOPLEV)

Toulouse University Hospital

Status: Unknown

Conditions: Pleural Effusion

Treatments: Procedure: Strategy with thoracic ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT02505763

RC31/14/7418

Details and patient eligibility

About

The main objective of the study is to assess the cost-effectiveness ratio of two management strategies of pleurisy in adults : a strategy by systematic thoracic ultrasound versus a strategy without thoracic ultrasound.

Full description

Comparison of two management strategies pleural effusions from diagnosis and during the first year of follow up care.

Patients are randomized into two groups, each group receiving a different management strategy.

Both strategies are compared:

Strategy A that involves the systematic use of thoracic ultrasound for the treatment of pleural effusion, treatment and follow up care. It will be possible to have recourse to other tests (such as chest CT) if deemed necessary by the practitioner.

Strategy B, which consists of the usual care pleurisy and thus without use of ultrasound: gestures are guided either by chest radiograph or by CT chest as necessary in the treatment and monitoring. A systematic radiographic pleural after each gesture is performed.

The management is inspired by the English recommendations currently validated and applied in Anglo-Saxon countries.

Enrollment: 144 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients hospitalized or seen in consultation with pleural effusion diagnosed clinically or radiologically whatever be its initial management.

Exclusion criteria

• Patient with a neoplasia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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144 participants in 2 patient groups

Strategy with thoracic ultrasound

Experimental group

Description:

* Use of thoracic ultrasound for the treatment of pleural effusion, treatment and monitoring. * Use of other examinations like chest CT if necessary

Treatment:

Procedure: Strategy with thoracic ultrasound

Strategy without thoracic ultrasound

No Intervention group

Description:

* Usual care : without thoracic ultrasound * Use of chest radiography or chest CT scan if necessary, as for treatment and monitoring. Usual care: without the use of ultrasound Using either chest radiography or TDM if necessary, as for treatment and monitoring.