Clinical trial NCT05135338: Chest X-ray in Diagnosis of Heart Failure
Official title: Comparison Between a Senior and a Junior Interpretation of a Chest X-ray in the Diagnosis of Heart Failure
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Chest X-ray ; Heart Failure
Keywords: chest x-ray
heart failure
diagnosis
senior
non-senior
Lead sponsor: University of Monastir
Sponsor class: OTHER
First posted: 2021-11-26
Enrollment: 1000
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: alla patients admitted to th ED with acurte dyspnea who have recieved chest x- ray .

Brief summary: The objective of this study is to compare the performance of x-chest ray in the diagnosis of acute cardiac insuficiency through the interpretation of a senior and a non-senior.

Detailed description: Acute cardiac insufficiency (ICA) is a leading cause of acute dyspnea in the emergency department (SU) and is associated with a higher risk of morbidity and mortality.

An increasing number of tools for better ICA diagnosis are available in the SUs. However, there is likely room to improve the ICA diagnostic approach using widely available routine tools, including chest x-ray .

Chest x-ray is a rapid and inexpensive method that is routinely performed in an emergency in patients with acute dyspnea. This is the first-line diagnostic imaging modality recommended in the guidelines.

The objective of this study is to compare the performance of x-chest ray in the diagnosis of acute cardiac insuficiency through the interpretation of a senior and a non-senior.

A senior emergency physician or resident and an intern, perform a reading of chest x-ray in any included patient by answering to following questions:

Is there cardiomegaly? Calculation of the cardio-thoracic index Is there a vascular distribution towards the vertices, if so is it uni or bilateral? Is there pleurisy, if so is it uni or bilateral? Is there an interstitial syndrome, if so is it uni or bilateral? Is there an alveolar syndrome, if so if so is it single or bilateral? Is the diagnosis of heart failure very likely, likely or unlikely? Then there will be a comparison of the two answers.

Eligibility criteria: Inclusion Criteria:

* Age over 18 All dyspnea acute non-traumatic A resident or intern in medicine and a senior are available to read chest x-ray within 24 hours of admission

Exclusion Criteria:

* Age under 18
* Post traumatic dyspnea
* Patient not requiring hospitalization
* Mechanical ventilation from the start
* Cardio-respiratory arrest
* Pregnant woman
* And any patient who cannot achieve reproducibility within 24 hours of admission.

Primary outcomes:
measure: The reproductibility of chest x-ray in the diagnosis of heart failure
timeFrame: 0 days
Secondary outcomes:
Other outcomes:
Locations:
city: Monastir
country: Tunisia
facility: Fattouma Bourguiba Monastir University Hospital Center
Study officials:
affiliation: University of Monastir
name: Nouira Semir, PhD
role: PRINCIPAL_INVESTIGATOR
References: