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Not yet recruiting NCT07641400

Pulmonary Artery Pressure in Predicting Pulmonary Embolism in Patients Presenting To The Emergency Department With Dyspnea

— Observational Emergency Department Patients Pulmonary Hypertension Pulmonary Embolism

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Pulmonary embolism (+), pulmonary embolism (-).
Who it may be relevant to
Registry conditions: Emergency Department Patients, Pulmonary Hypertension, Pulmonary Embolism. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Turkey (Türkiye)
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

The Diagnostic Value of The Difference Between Prior and Immediate Pulmonary Artery Pressure in Predicting Pulmonary Embolism in Patients Presenting To The Emergency Department With Dyspnea

Overview

The aim of this study is to determine the usability of echocardiographic PAP changes obtained from emergency department records in the early risk stratification of pulmonary embolism.

Detailed description

Pulmonary embolism (PE) is a significant clinical condition requiring rapid diagnosis, with high mortality and morbidity, in patients presenting to the emergency department with shortness of breath. The chronic presence of dyspnea, particularly in individuals with chronic obstructive pulmonary disease (COPD), chronic heart failure, pulmonary hypertension, and similar cardiopulmonary diseases, makes it difficult to differentiate PE in the acute phase. In this patient group, pulmonary artery pressure (PAP) values measured by echocardiography can provide important clinical information in the diagnostic process. The aim of this study is to determine the usability of echocardiographic PAP changes obtained from emergency department records in the early risk stratification of pulmonary embolism.

Interventions

  • Other Pulmonary embolism (+)
    patients diagnosed with pulmonary embolism who have previously had their pulmonary artery pressure measured
  • Other pulmonary embolism (-)
    control group

Primary outcome measures

  • pulmonary artery pressure [Time frame: 3 hours]
Secondary outcome measures (1)
  • the relationship between pulmonary embolism and comorbidity [Time frame: 3 hours]

Eligibility criteria

Inclusion criteria

  • Presenting to the emergency department with dyspnea between the specified dates,
  • Being 18 years of age or older,
  • Being evaluated in the emergency department with a preliminary diagnosis of pulmonary embolism,
  • Having a recorded pulmonary artery pressure measurement at the time of hospital admission,
  • Having a previous pulmonary artery pressure measurement in the patient's records,
  • Having sufficient and complete clinical, laboratory, imaging, and echocardiography data available for the study.

Exclusion criteria

  • Patients under 18 years of age,
  • Lack of pulmonary artery pressure data from the time of emergency admission or from the previous period,
  • Lack of necessary clinical, laboratory, or imaging data for pulmonary embolism evaluation,
  • In cases of repeated admissions for the same patient, only the first suitable admission will be considered; other admissions will be excluded from the study,
  • Patients whose data is unavailable in the record system or whose data is insufficient to be analyzed for research purposes.Inclusion Criteria for the Study

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Case-only

Study locations

Turkey (Türkiye) · 1 center
  • University of Health Sciences, Antalya Training and Research Hospital — Antalya

Publications

  • Cao YQ, Dong LX, Cao J. Pulmonary Embolism in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease. Chin Med J (Engl). 2018 Jul 20;131(14):1732-1737. doi: 10.4103/0366-6999.235865. PMID 29998894

Identifiers

NCT: NCT07641400 · 9/28

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗