PAthwAy of Dyspneic patIent in Emergency in France
NCT Number: NCT06509854
Acronym: Fr-PArADIse
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Acute Dyspnea
Sponsor: Pr. Nicolas GIRERD
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 89700
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-09-30
Completion Date: 2031-09-30
Locations: CHU de Besançon, Besançon, France|CHU de Dijon, Dijon, France|Hospices civils de Lyon, Groupement Hospitalier Édouard-Herriot, Lyon, France|CHRU of Nancy, Nancy, France

Summary:
This observational retrospective multi-center study focuses on patients treated for acute dyspnea by emergency medical teams. The primary objective is to identify factors associated with the risk of mortality and rehospitalization in these patients. This evaluation will be conducted both overall and within specific subgroups of interest, including gender (men/women), age categories, mode of admission, and comorbidities.

Primary Outcome Measures: All-cause post-hospitalization mortality and rehospitalization, Composite endpoint of all-cause post-hospitalization mortality and rehospitalization, Within 5 years following hospital discharge
Secondary Outcome Measures: Proportion of readmissions (all-cause and specific - including hospitalization for acute dyspnea )., 1 month and 1 year post admission for acute dyspnea in the emergency department|Post admission mortality, Assessed by: Composite criterion of rehospitalization and/or death following emergency department admission (short and long-term). with outcome 5., Within 20 years following hospital discharge|Post admission rehospitalization, Assessed by: Composite criterion of rehospitalization and/or death following emergency department admission (short and long-term) with outcome with outcome 4., Within 20 years following hospital discharge|Erroneous etiological diagnosis of dyspnea in the emergency department, Assessed by: defined as a discrepancy between the diagnosis at discharge from the emergency department and the final diagnosis in the hospital discharge letter, Within hospital stay, maximum 21 days|All-cause mortality and specific mortality (cardiovascular and non-cardiovascular)., Assessed by: Composite endpoint of all-cause mortality and specific mortality (cardiovascular and non-cardiovascular) with outcome 8, Within 5 years following hospital discharge|Emergency post-admission mortality, Assessed by: Composite criterion of mortality and rehospitalization post-admission for acute dyspnea in the emergency department over the long term with outcome 9, Within 20 years following hospital discharge|Emergency post-admission rehospitalisation, Assessed by: Composite criterion of mortality and rehospitalization post-admission for acute dyspnea in the emergency department over the long term outcome 8, Within 20 years following hospital discharge|Duration of stay in the emergency department, Assessed by: Duration of stay in the emergency department, Within hospital stay, maximum 21 days|Erroneous etiological diagnosis of dyspnea in the emergency department, Assessed by: Erroneous etiological diagnosis of dyspnea in the emergency department, Within hospital stay, maximum 21 days|In-hospital mortality, Assessed by: In-hospital mortality, Within hospital stay, maximum 21 days|Length of hospital stay, Assessed by: Length of hospital stay, Within hospital stay, maximum 21 days|Post emergency admission (For dyspnea) mortality and rehospitalization, Assessed by: Post emergency admission (For dyspnea) mortality and rehospitalization, Within 5 years following hospital discharge