Clinical trial NCT02932982: Diagnostic Reasoning and Sense of Alarm at Dyspnoea and / or Chest Pain
Official title: Diagnostic Reasoning and Sense of Alarm at Dyspnoea and / or Chest Pain
Study type: OBSERVATIONAL
Overall status: TERMINATED
Conditions: Chest Pain
Dyspnea
Keywords: primary care
chest pain
dyspnea
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
Collaborators: name: University of Anvers
name: Ecole doctorale de Bretagne en biologie de santé
First posted: 2016-10-13
Enrollment: 241
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients between 18 and 80 years and consulting on primary care for chest pain or dyspnea

Brief summary: Dyspnea and chest pain represent 1.5% of general practice consultations. They may be a sign of many diseases, potentially serious. The concept of Gut Feelings brings a sense of alarm and reinsurance. The sense of alarm reflects a sense of mistrust about the patient's clinical situation, in the absence of objective argument. The sense of reinsurance reflects a sense of confidence about the patient's situation, in the absence of objective argument. Gut Feelings plays a key role in the diagnostic reasoning in general practice. A questionnaire measuring the Gut Feelings was validated in French after a linguistic validation procedure.

Detailed description: Dyspnea and chest pain represent 1.5% of general practice consultations. They may be a sign of many diseases, potentially serious. The concept of Gut Feelings brings a sense of alarm and reinsurance. The sense of alarm reflects a sense of mistrust about the patient's clinical situation, in the absence of objective argument. The sense of reinsurance reflects a sense of confidence about the patient's situation, in the absence of objective argument. Gut Feelings plays a key role in the diagnostic reasoning in general practice. A questionnaire measuring the Gut Feelings was validated in French after a linguistic validation procedure.

The objective of the research is to calculate the precision of the sense of alarm the general practitioner facing a consultant for chest pain or dyspnea and patient

Eligibility criteria: Inclusion Criteria:

* Patients between 18 and 80 years
* Patients consulting on primary care for chest pain or dyspnea

Primary outcomes:
measure: calculate the accuracy of the sense of alarm the general practitioner face a patient consultant for chest pain or dyspnea.
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Brest
country: France
facility: ABALAIN-VOREUX Aurélie
city: Brest
country: France
facility: SIMON Benjamin
city: Camaret Sur Mer
country: France
facility: AUFFRET Jean François
city: Guerlesquin
country: France
facility: POINOT Anne
city: La Forêt Landerneau
country: France
facility: LE GOFF Delphine
city: Pleyben
country: France
facility: BEURTON-COURAUD Lucas
city: Ploudalmezeau
country: France
facility: LE DUFF Nicolas
city: Plounéour Trez
country: France
facility: BODIN Bénédicte
city: Plouzané
country: France
facility: CAM Françoise
city: Pont l'Abbé
country: France
facility: LOSQUIN André
city: Saint Nicolas du Pelem
country: France
facility: MAHE Gwénaëlle
Study officials:
References:
citation: Barais M, Fossard E, Dany A, Montier T, Stolper E, Van Royen P. Accuracy of the general practitioner's sense of alarm when confronted with dyspnoea and/or chest pain: a prospective observational study. BMJ Open. 2020 Feb 18;10(2):e034348. doi: 10.1136/bmjopen-2019-034348.