Chest Ultrasound of ER Patients With Cough or SOB

NCT02269761 | Terminated

• 1 other identifier: 47935
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Acute dyspnea (shortness of breath) is a common complaint for patients presenting to the Emergency Department (ED). The chest radiograph (CXR) has been the mainstay in evaluating patients with shortness of breath and often provides the timely diagnosis of pneumonia, pneumothorax, pulmonary edema, among other primary diseases of the lung. There are limitations with chest radiograph such as large body mass (e.g, obesity) and patient positioning. On occasion, chest radiography findings are difficult to interpret. Lung ultrasonography may offer a means of clarifying ambiguous results. The objective of this study to determine the usefulness of point of care lung ultrasound in evaluating patients presenting to the ED with shortness of breath, cough and/or wheezing.

Conditions

Cough; Dyspnea; Wheezing

Keywords

Emergency Departments; Chest; Lung; Cough; Dyspnea; Wheezing; Ultrasound; Ultrasonography

Outcome Measures

Primary Outcomes (1)

• B-lines on chest ultrasound as a predictor of pulmonary edema and/or pneumonia

  Results from the study ultrasound will be correlated with other imaging results and the emergency physicians initial impression.

  Up to 1 week

Interventions

Nuvis Diagnostic Ultrasound System DEVICE

Ultrasound of the chest

Also known as: Diagnostic ultrasound system and transducers, C5-2 curve linear array USB transducer

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Emergency Department (ED) patients with shortness of breath (SOB)

You may qualify if:

• Presenting to the Emergency Department with cough, wheezing and/or dyspnea (shortness of breath)
• Referred for CXR and/or CT scan

You may not qualify if:

• Life threatening medical condition requiring immediate treatment
• Unable to sit up for a chest ultrasound
• Unable to consent
• Pregnant
• Unable to speak, read and write in English

Sponsors & Collaborators

• University of Washington: lead
• Philips Healthcare: collaborator

Study Sites (1)

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

MeSH Terms

Conditions

Cough; Dyspnea; Respiratory Sounds; Emergencies

Interventions

Transducers

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Electrical Equipment and Supplies; Equipment and Supplies

Study Officials

• Theodore J Dubinsky, MD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Radiology

Study Record Dates

• First Submitted: October 3, 2014
• First Posted: October 21, 2014
• Study Start: September 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: January 1, 2016
• Last Updated: March 22, 2023

Record last verified: 2023-03

Locations

US (1)