Impact of Validated Diagnostic Prediction Model of Acute Heart Failure in the Emergency Department

Completed · Not applicable

Conditions studied: Dyspnea, Acute Heart Failure, Shortness of Breath

In brief

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.

Key facts

Study ID

NCT01193998

Run by

Unity Health Toronto

People needed

186

Starts

2010-09-01

Expected to finish

2014-06-01

Last updated by the study team

2014-06-16

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥ 18 years
• Presentation to the ED with undifferentiated shortness of breath

You may not qualify if…

• 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

Where it is running

• Wayne State University — Detroit, Michigan, United States
• St. Michael's Hospital — Toronto, Ontario, Canada
• Waikato Hospital Cardiology Clinical Trials Unit — Waikato, New Zealand

Full record on ClinicalTrials.gov

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