PAthwAy of Dyspneic patIent in Emergency (PArADIsE)

Study Overview
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Brief Summary
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This is an observational retrospective single-center study (CHRU of Nancy) in patients cared for acute dyspnea by a medical team of the emergencies of the CHRU of Nancy. The main purpose of the study is to evaluate the outcome of patients cared for acute dyspnea by a medical team of emergencies of CHRU of Nancy.

Detailed Description
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This observational retrospective single-center study will be conducted using data from medical records, acquired as part of usual care, patients cared for acute dyspnea in the last 5 years (from the date of authorization of data processing). About 4,000 patients will be affected, including more than 800 patients with acute heart failure.

Official Title
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PAthwAy of Dyspneic patIent in Emergency

Conditions
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Dyspnea; Cardiac, Acute Disease

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Man or women ≥ 18 years Patients with acute dyspnea cared by a medical team of the emergencies of CHRU of Nancy. Exclusion Criteria: Cardiorespiratory arrest before the care by a medical team of the emergencies of the CHRU of Nancy.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with acute dyspnea<br>Patients with acute dyspnea treated by a medical team of emergencies of CHRU of Nancy. All patients admitted to the emergencies in the last 5 years matching the inclusion criteria will be evaluated. About 4,000 patients will be affected, including more than 800 patients with acute heart failure. (Figures based on export of ICD X codes (R06.0: Dyspnea) of patients cared in extra-hospital for acute dyspnea (diagnosis Dyspnea + Heart Failure) over the last 5 years). | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| All cause in-hospital mortality |  | in the last 5 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Demographic and clinical data of patients cared by a medical team of emergencies |  | in the last 5 years | 
| Duration of total hospitalization (including emergency stay and conventional hospitalization) |  | in the last 5 years | 
| The main diagnosis of the initial hospitalization |  | in the last 5 years | 
| Rate of Brain Natriuretic Peptide (BNP) |  | in the last 5 years | 
| Administration of non-invasive ventilation and / or diuretics and / or nitrates |  | in the last 5 years | 
| Administration time of non-invasive ventilation and / or diuretics and / or nitrates |  | in the last 5 years | 
| Service type admitting the patient after the emergency care (intensive care, cardiology, intensive care cardiology, other ...) |  | in the last 5 years | 
| Admission time in a service after the emergency care |  | in the last 5 years | 
| Mortality and re-hospitalization of included patients |  | in the last 5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acute dyspnea, emergency, acute heart failure