Strategy for Prompt and Effective Thoracentesis in the Emergency Department
Recruiting now · Not applicable
Conditions studied: Pleural Effusion, Pleural Diseases, Heart Failure
In brief
The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.
Key facts
- Study ID
- NCT06180603
- Run by
- University of Aarhus
- People needed
- 188
- Starts
- 2024-01-15
- Expected to finish
- 2025-12-31
- Last updated by the study team
- 2024-12-05
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients ≥ 18 years admitted to the ED
- Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography)
- Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion
- Without contraindication for thoracentesis in the emergency department (e.g., anticoagulant treatment)
You may not qualify if…
- Life-threatening respiratory distress
- Not able to give consent
- Previous pleurodesis
- Effusion does not appear free-flowing due to septations or loculations / suspected empyema
- Prior enrollment in the trial
- If randomization is not possible because decision to insert a pigtail catheter is made in the radiology department
Where it is running
- Horsens Regional Hospital — Horsens, Central Jutland, Denmark (enrolling)
- Randers Regional Hospital — Randers, Central Jutland, Denmark (enrolling)
- Aalborg University Hospital — Aalborg, North Denmark, Denmark (enrolling)
- Esbjerg sygehus — Esbjerg, South Region Denmark, Denmark (enrolling)
- Aarhus University Hospital — Aarhus, Central Jutland, Denmark
- Gødstrup Regional Hospital — Gødstrup, Central Jutland, Denmark
Full record on ClinicalTrials.gov
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