Arterial pH Selectively Predicts Intensive Care Unit Transfer From the Emergency Department in Obese Patients With Acute Dyspnea

Association pour la Formation du Personnel à la Medecine d'Urgence400 enrolled

Overview

This study evaluates the prognostic value of arterial blood gas analysis in a cohort of Emergency Department patients presenting with shortness of breath of any cause, comparing obese and non-obese patients.

Factors associated with admission to intensive care unit (ICU) or ED mortality before transfer to the ICU are analyzed in obese (BMI ≥ 30kg.m-2) and non-obese patients subgroups.

Study Type

OBSERVATIONAL

Enrollment

400

Conditions

Dyspnea Respiratory Failure

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients who presented with acute dyspnea in the ED * patients who had an ABG analysis as part of the ED standard management Exclusion Criteria: * Patients with treatment limitation decisions made by the medical teams against ICU admission, including severe cognitive impairment or palliative care , * Patients with immediate transfer to ICU due to shock and hemodynamic instability at ED admission

Locations (1)

Montpellier University hospital

Montpellier, France

Outcomes

Primary Outcomes

Composite of admission to the ICU or in ED mortality before ICU admission

Admission to the ICU following ED management will be at the discretion of the attending ICU physician, and in agreement with current guidelines for ICU admission, according to standard management

Time frame: up to 1 day (direct admission to ICU from ED)

Data from ClinicalTrials.gov

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