Lung Ultrasound for Acute Dyspnea in Emergency Department

University of Turin, Italy1,005 enrolled

Overview

Dyspnea is a frequent symptom in patients admitted to the Emergency Department (ED); discriminating between cardiogenic and non-cardiogenic dyspnea is a common clinical dilemma. The initial diagnostic work-out is often not very accurate in defining the etiology and the underlying pathophysiology. In the last years, lung ultrasound (US) has emerged as a useful real-time bedside diagnostic tool in the critical patient. The aim of this study was to evaluate the accuracy, reproducibility, and diagnostic impact of pleural and lung US, performed by emergency physicians at the time of patient first presentation to the ED, in identifying cardiac causes of acute dyspnea.

Study Type

OBSERVATIONAL

Enrollment

1,005

Conditions

Dyspnea Congestive Heart Failure

Interventions

lung and pleural ultrasoundOTHER

After the initial diagnostic work-out (medical history, physical examination, EKG, arterious blood gas), the emergency physician will classify dyspnoea in cardiogenic or respiratory dyspnoea and write it down in a specific form (clinical form). Immediately after this, lung and pleural ultrasound will be performed: the physician will describe it and evaluate the etiology again (integrated evaluation form). Then a chest X-ray evaluation will be performed for each patient.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients had to present to the ED with a principal complaint of shortness of breath, deﬁned as either the sudden onset of dyspnea with no history of chronic dyspnea or an increase in the severity of chronic dyspnea in the last 48 hours; * Presence of an emergency physician with lung US experience at the time of enrollment; * US examination within 30 minutes after the start of the clinical evaluation. Exclusion Criteria: * Dyspnea cases clearly due to neither cardiogenic nor respiratory etiology will considered not eligible.

Locations (7)

Emergency Department - AOU San Giovanni Battista

Turin, Italy, Italy

Emergency Medicine & Surgery Unit - Cardinal Massaia Hospital

Asti, Italy

Emergency Department - AO Santa Croce e Carle

Cuneo, Italy

Emergency Medicine Unit - AOU San Luigi Gonzaga

Orbassano, Italy

Emergency Medicine & Surgery Unit - Pinerolo General Hospital, ASL TO 3

Pinerolo, Italy

Emergency Medicine and Surgery Unit- AO Mauriziano

Turin, Italy

Emergency Medicine & Surgery Unit - Martini Hospital, ASL TO 2

Turin, Italy