Pathway and Urgent caRe of Dyspneic Patient at the Emergency Department in LorrainE District (PURPLE)

Study Overview
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Brief Summary
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This is an observational prospective multicenter study of patients admitted for acute dyspnea in an emergency department of the participating centers in the Lorraine district. The primary objective is to assess the outcome of this population according to the cause of acute dyspnea as well as identify the predictors of this outcome, both overall and according to each acute dyspnea cause.

Detailed Description
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This observational prospective multicenter study will be conducted using data from electronic medical records, acquired as part of usual care, in patients admitted for acute dyspnea in the emergency department. Clinical, treatment, laboratory and imaging data acquired during the hospitalization (in the emergency department and in the department that admitted the patients following the emergency department stay) will be collected. Vital status will be recorded at 30 days and 1 year post-admission.

Official Title
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Pathway and Urgent caRe of Dyspneic Patient at the Emergency Department in LorrainE District

Conditions
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Acute Dyspnea

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men or women > or = 18 years. Patients with acute dyspnea admitted for acute dyspnea in the emergency department. Patient informed. Exclusion Criteria: Cardiorespiratory arrest. Patient having expressed his or her opposition.

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 admitted for acute dyspnea<br>Patients admitted for acute dyspnea in the emergency department | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| All cause mortality |  | From emergency admission for acute dyspnea up until 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Demographic data |  | through hospital stay, an average of 10 days | 
| Clinical data |  | through hospital stay, an average of 10 days | 
| Treatment data |  | through hospital stay, an average of 10 days | 
| Laboratory data |  | through hospital stay, an average of 10 days | 
| Imaging data |  | through hospital stay, an average of 10 days | 
| Duration of hospitalization | including emergency stay and conventional hospitalization | At final discharge, an average of 10 days after admission | 
| Initial diagnosis in the emergency department |  | At admission | 
| Final diagnosis of the initial hospitalization stay |  | At final discharge, an average of 10 days after admission | 
| Brain Natriuretic Peptide |  | Through hospital stay, an average of 10 days | 
| Estimated glomerular function rate |  | Through hospital stay, an average of 10 days | 
| Estimated plasma volume |  | Through hospital stay, an average of 10 days | 
| Liver biological biomarkers |  | Through hospital stay, an average of 10 days | 
| Urea |  | Through hospital stay, an average of 10 days | 
| Use of non-invasive ventilation |  | Through hospital stay, an average of 10 days | 
| Time of use of non-invasive ventilation |  | Through hospital stay, an average of 10 days | 
| Use of diuretics |  | Through hospital stay, an average of 10 days | 
| Time of use of diuretics |  | Through hospital stay, an average of 10 days | 
| Use of nitrates |  | Through hospital stay, an average of 10 days | 
| Time of use of nitrates |  | Through hospital stay, an average of 10 days | 
| Department type admitting the patient following emergency management | intensive care unit, cardiology, cardiac intensive care unit, other ... | Through hospital stay, an average of 10 days | 
| All cause in-hospital mortality |  | At final discharge, an average of 10 days after admission | 

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