Clinical trial NCT01910233: Registry of Patients With Acute Dyspnea in the Emergency Department
Official title: Prospective Registry for Quality Assurance of Medical Care of Patients With Acute Dyspnea in the Emergency Department
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Dyspnea
Heart Failure
COPD
Keywords: dyspnea
registry
baseline characteristics
mortality
risk assessment
emergency department
Lead sponsor: Klinikum Nürnberg
Sponsor class: OTHER
First posted: 2013-07-29
Enrollment: 947
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients presenting to the emergency department of the city hospital Nuremberg

Brief summary: This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg. There is evidence that acute dyspnea is associated with a mortality rate of 10%, however acute dyspnea is not perceived as a life-threatening condition, both in public and in health care providers. Our aim is to describe the patient collective concerning their demographics, baseline characteristics, type of referral and disposition, medical care processes and prognosis. Secondly, we want to evaluate if the subjective risk assessment of emergency department personnel matches with objective risk stratification tools and the actual outcome of the studied patients.

Detailed description: This is a prospective registry of patients presenting with acute dyspnea to the emergency department of the city hospital in Nuremberg during May 23th 2013 and October 31th 2013. To be included into the registry the patient has to express acute dyspnea. Minor patients are not included. The admission documents of the studied patients are accompanied by a questionnaire that has to be completed by the triage nurse and the attending physician. The questionnaire includes items like professional experience and subjective assessment of patient's prognosis. In addition the attending physician has to state if the evaluation of medical history was difficult, if previous medication is known and how likely the presence of heart failure as underlying condition is. Data of the questionnaire, the patient record and the follow up contacts are entered in a SPSS database. Finally, we measure the OPTIMIZE-HF score (Abraham et al. 2008) and the PRIDE mortality score (Baggish et al. 2007) in a retrospective manner in order to compare the subjective assessments with objective criteria.

Eligibility criteria: Inclusion Criteria:

* expression of acute dyspnea in the emergency department

Exclusion Criteria:

* age \< 18 years

Primary outcomes:
measure: all cause mortality
timeFrame: 6 months
Secondary outcomes:
measure: demographics and baseline characteristics
timeFrame: 1 month
measure: medical care processes
timeFrame: 1 day
measure: subjective and objective risk assessment
timeFrame: 1 month
Other outcomes:
Locations:
city: Nuremberg
country: Germany
facility: Department of Emergency and Critical Care Medicine, City Hospital Nuremberg
state: Bavaria
Study officials:
affiliation: Klinikum Nürnberg
name: Michael Christ, Prof.
role: PRINCIPAL_INVESTIGATOR
References: