OLDIA
Assessment of the Prevalence and Kinetics of Diaphragmatic Dysfunction in Elderly Patients With Acute Respiratory Distress
Sponsor study identifier
observational
85
1 country
1
Study Start
June 24, 2020
Actual (reported)Primary Completion
June 21, 2021
Actual (reported)Study Completion
December 21, 2021
Actual (reported)Acute respiratory distress (ARD) is one of the most frequent reasons for consultation and hospitalization in emergency medicine. The use of ultrasound methods as a diagnostic and clinical assessment tool in emergency medicine is increasingly important. As such, ultrasound is a simple, non-invasive means of assessing diaphragmatic function in the patient's bed. Several methods of ultrasound assessment of diaphragm function have been described. Among these different methods, the diaphragmatic excursion seems to have a better intra and interobserver reproducibility as well as a greater feasibility, in particular because of its speed of realization and its learning curve seeming faster in comparison with the measurement. of the thickening fraction. Measuring the diaphragmatic excursion could therefore ultimately represent a simple means of assessing respiratory function, both diagnostic and prognostic, in patients with acute respiratory distress in the emergency departments. The etiologies of acute respiratory distress in very elderly patients (i.e.\> 75 years) admitted to the emergency reception service are multiple. To our knowledge, there is no data available in the literature on the prevalence of diaphragmatic dysfunction and its short- and long-term course in this category of patients. The main objective of this study is therefore to assess the prevalence of diaphragmatic dysfunction and its evolutionary kinetics in patients over the age of 75 admitted for acute respiratory distress in the emergency medicine department.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 21, 2021
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
June 24, 2020
Actual (reported)June 24, 2020
Actual (reported)August 20, 2020
Actual (reported)June 21, 2021
Actual (reported)December 21, 2021
Actual (reported)Presence of diaphragmatic dysfunction
Ultrasound measurement of diaphragmatic excursion (ED)
inclusion
Presence of diaphragmatic dysfunction
Ultrasound measurement of diaphragmatic excursion (ED)
Day 1
Presence of diaphragmatic dysfunction
Ultrasound measurement of diaphragmatic excursion (ED)
Day 3
Presence of diaphragmatic dysfunction
Ultrasound measurement of diaphragmatic excursion (ED)
Day 7
Presence of diaphragmatic dysfunction
Ultrasound measurement of diaphragmatic excursion (ED)
up to 7 days
Inter-observer reproductibility of the measurement of ED and EIT
Day 0
Predictive value of the presence of diaphragmatic dysfunction
48 hours after the beginning of hospitalization
Predictive value of the presence of diaphragmatic dysfunction over the average length of hospital stay
up to 7 days
Predictive value of the presence of a diaphragmatic dysfunction on mortality
up to 7 days
Predictive value of the presence of a diaphragmatic dysfunction on mortality
6 months after the end of hospitalization
Recruitment of all patients over the age of 75, presenting to adult emergency departments and in spontaneous ventilation and having at least one criterion of acute respiratory distress.
Centre Hospitalier Universitaire de la Réunion
Saint-Denis, 97400, France
Thomas GROSEIL, Dr
CHU de La Réunion
85 participants (actual enrollment reported by the registry).
First Submitted
June 24, 2020
First Posted
August 20, 2020
Study Start
June 24, 2020
Actual (reported)Primary Completion
Contact the study team to confirm eligibility.
June 21, 2021
Actual (reported)Study Completion
December 21, 2021
Actual (reported)Last Updated
September 11, 2026
Record last verified: 2026-09
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Source: ClinicalTrials.gov.
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