BRIPPED Scan for Evaluation of Emergency Department (ED) Patients With Shortness of Breath

NCT01662843 | Completed DMC

• 1 other identifier: 11-07-FB-0204-HOSP
• Study Type: observational
• Target: 104
• Locations: 1 country
• Sites: 1

Brief Summary

The B-RIPPED scan is a standardized ultrasound evaluation of pulmonary B-lines, Right ventricle size and strain, Inferior Vena Cava collapsibility, Pleural and Pericardial Effusion, Pneumothorax, Ejection Fraction, and lower extremity Deep Venous Thrombosis. Primary outcomes measured are the magnitude of change in differential diagnoses.

Conditions

Dyspnea

Keywords

Dyspnea; Ultrasonography; Emergencies; Critical Care

Outcome Measures

Primary Outcomes (1)

• magnitude of change of differential diagnosis of the treating physician

  duration of ED course, which is expected to be an average of 3 hours

Secondary Outcomes (4)

• time to complete the exam

  3 to 30 minutes during the ED course

• time to disposition in control group compared to group receiving the BRIPPED scan

  duration of ED course, which is expected to be an average of 3 hours, with a range of 45 minutes to 6 hours

• labs, consults, medications and other orders added or discontinued after the treating physician is informed of the BRIPPED scan results

  duration of the ED course, which is expected to be an average of 3 hours, with a range of 45 minutes to 6 hours

• Recidivism rates among both cohorts, or evaluation of return to the ED within 30 days

  30 days after presentation to ED

Study Arms (2)

BRIPPED scan

Patients presenting with undifferentiated shortness of breath who receive the ultrasound scan in addition to standard of care

Control

Patients who only receive the standard of care for undifferentiated shortness of breath

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A convenience sample of community subjects presenting to an Academic Hospital Emergency Department (volume approx 60,000 patients per year).

You may qualify if:

• Subjects are included if they are between the ages of 18-89 and present to the Emergency Department with a chief complaint of shortness of breath or dyspnea.

You may not qualify if:

• known history of asthma,
• are 20 or more weeks pregnant, or
• have had thoraco-abdominal trauma in the past 72 hours.

Sponsors & Collaborators

• Eastern Virginia Medical School: lead
• Emergency Medicine Foundation: collaborator

Study Sites (1)

Sentara Norfolk General Emergency Department

Norfolk, Virginia, 23507, United States

Location

Related Publications (1)

• Stewart VM, Bjornsson HM, Clinton M, Byars DV. BRIPPED scan for evaluation of ED patients with shortness of breath. Am J Emerg Med. 2016 Mar;34(3):386-91. doi: 10.1016/j.ajem.2015.11.006. Epub 2015 Nov 5.

  PMID: 26704772 DERIVED

MeSH Terms

Conditions

Dyspnea; Emergencies

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Study Officials

• Virginia M Stewart, MD

  Eastern Virginia Medical School

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 16, 2012
• First Posted: August 10, 2012
• Study Start: October 1, 2011
• Primary Completion: May 1, 2012
• Study Completion: May 1, 2012
• Last Updated: August 14, 2013

Record last verified: 2013-08

Locations

US (1)