Impact of Validated Diagnostic Prediction Model of Acute Heart Failure in the Emergency Department
| Status: | Completed |
|---|---|
| Conditions: | Cardiology, Hospital, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Pulmonary / Respiratory Diseases, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/5/2014 |
| Start Date: | September 2010 |
| End Date: | June 2013 |
| Contact: | Brian Steinhart, MD |
| Email: | STEINHARTB@smh.ca |
| Phone: | 416-864-5095 |
Analysis of the Impact of Using a Validated Diagnostic Prediction Model of Acute Heart Failure in the Emergency Department
The purpose of this study is to evaluate a validated diagnostic prediction model in the
appropriate diagnosis of Acute Heart Failure (AHF) in patients presenting at the emergency
department with undifferentiated dyspnea.
appropriate diagnosis of Acute Heart Failure (AHF) in patients presenting at the emergency
department with undifferentiated dyspnea.
Inclusion Criteria:
- Age ≥ 18 years
- Presentation to the ED with undifferentiated shortness of breath
Exclusion Criteria:
- Dyspnea of obvious cause, e.g. chest trauma, obvious clinical exacerbation of known
chronic obstructive disease
- Obvious pulmonary edema in a patient with a known diagnosis of HF and recently
admitted to hospital for HF
- Clinician does not plan to treat for AHF at all, but rather to pursue other causes of
dyspnea (i.e., probability of AHF ≤ 20%)
- Clinician plans to treat for AHF and not to pursue other causes of dyspnea (i.e.,
probability of AHF ≥ 80%)
- Acute coronary syndrome within one month
- Chronic renal failure (serum creatinine ≥ 250 mol/l)
- Anticipated life expectancy < 6 months due to non-cardiovascular causes
- Participation in another interventional outcome trial
- Inability to obtain informed consent, including inability of patient to understand
English
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Wayne State University Founded in 1868, Wayne State University is a nationally recognized metropolitan research...
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