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Bedside Ultrasound Identifies Congestive Heart Failure

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ClinicalTrials.gov Identifier: NCT00833144
Recruitment Status : Completed
First Posted : January 30, 2009
Last Update Posted : December 13, 2013
Information provided by (Responsible Party):

January 29, 2009
January 30, 2009
December 13, 2013
February 2009
February 2010   (Final data collection date for primary outcome measure)
sensitivity and specificity of the ultrasound lung rockets to predict congestive heart failure [ Time Frame: One year ]
Same as current
Complete list of historical versions of study NCT00833144 on ClinicalTrials.gov Archive Site
comparison of the BNP with the thoracic ultrasound findings [ Time Frame: One year ]
Same as current
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Bedside Ultrasound Identifies Congestive Heart Failure
Emergency Physician-Performed Thoracic Ultrasound Rapidly Identifies Patients With Congestive Heart Failure

Patients often arrive to the Emergency Department with the chief complaint of shortness of breath. The cause of the shortness of breath may be due to many things, such as pneumonia, emphysema, a heart attack, heart failure, and others. It is often very difficult for the physician to determine the cause of the shortness of breath in the first two hours in the Emergency Department. This ambiguity makes treating the patient very difficult. Although a patient could benefit from treatment upon arrival, the emergent treatment of the condition must wait until a final diagnosis is made.

Recently, emergency physicians have been using portable ultrasound at the patient's bedside to diagnose numerous conditions, including trauma, blood clots, kidney stones, etc. Recent research suggests that heart failure, one of the causes of shortness of breath, may be diagnosed within 5 minutes or less using ultrasound. Most of these studies come from the intensive care and cardiology. However, no research has yet been performed to determine if emergency physicians can effectively use ultrasound to quickly diagnose and treat heart failure within the first few minutes of a patient's arrival to the emergency department. The hypothesis of this study is to evaluate the ability of residents in emergency medicine to use ultrasound to diagnose patients in heart failure who presented with the chief complaint of shortness of breath. The final diagnosis of the patient upon discharge from the hospital will be compared to the preliminary diagnosis based on the portable ultrasound findings.

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Observational Model: Case Control
Time Perspective: Prospective
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Non-Probability Sample
Patients presenting to the Emergency Care Center with the chief complaint of shortness of breath or dyspnea will be eligible for the study.
  • Heart Failure
  • Dyspnea
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  • 1
    Congestive Heart Failure
  • 2
    Patients without congestive heart failure

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
February 2011
February 2010   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • age > 18
  • presenting complaint of shortness of breath or dyspnea

Exclusion Criteria:

  • prisoners
  • pregnant women
  • shortness of breath clearly secondary to another diagnosis (i.e. trauma)
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
2008125 ( Other Identifier: Other )
Not Provided
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Sierra Beck, MD, RDMS, Emory University
Emory University
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Principal Investigator: William Manson, MD Emory University
Emory University
December 2013