Point-of-Care Ultrasound in Predicting Adverse Outcomes in Emergency Department Patients With Acute Pulmonary Embolism
WellSpan Health
Summary
This study is an observational, prospective study examining the role point-of-care echocardiography of predicting short term adverse outcomes in emergency department patients with acute pulmonary embolism. The primary objective is to assess the diagnostic performance of ultrasound-guided measures of right ventricular dilation (RVD) and strain in predicting clinical outcomes in acute PE. The secondary objective is to investigate the utility of combining ultrasound-guided measures of RVD and the pulmonary embolism severity index (PESI) score in predicting adverse outcomes in acute PE.
Description
STUDY: Point-of-Care Ultrasound in Predicting Adverse Outcomes in Emergency Department Patients With Acute Pulmonary Embolism BACKGROUND The clinical outcomes associated with pulmonary embolism (PE) vary widely. In the United States, most patients are admitted for inpatient therapy; however, there is evidence to suggest that outpatient therapy may be safe in patients with non-massive PEs. Appropriate outpatient treatment of patients with pulmonary emboli not only has the potential to increase patient satisfaction, but also has the potential to significantly reduce cost of care without compro…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Not specified
Inclusion Criteria: * Age \>= 18 years of age * ED diagnosis of acute pulmonary embolism with identification on CT imaging Exclusion Criteria: * Age \<18 years of age * Inability to provide informed consent * Incarceration * Current PE previously diagnosed prior to index ED visit
Interventions
- Diagnostic TestPoint-of-care echocardiography
Subjects will undergo point-of-care echocardiography at the time of presentation/enrollment to assess for evidence of right sided heart dilation/strain.
Location
- Wellspan York HospitalYork, Pennsylvania