- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04633629
LUS in Acute Heart Failure Therapeutic Adaptation (EPPICA)
November 12, 2020 updated by: University Hospital, Grenoble
Interest of Lung Ultrasound (LUS) in Therapeutic Adaptation of Patients Hospitalized in Medical Department for Acute Heart Failure (AHF).
Evaluate lung ultrasound aspect according to diuretics dosage evolution in patients hospitalized for acute heart failure.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
EPPICA is an observational and prospective cohort study.
The study goal is to evaluate LUS aspect evolution according to diuretics dosage in patients hospitalized for acute heart failure.
Study Type
Observational
Enrollment (Anticipated)
94
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients aged over 18, hospitalized from the emergency department in the medical department for acute heart failure.
Description
Inclusion Criteria:
- Acute heart failure diagnosed by a senior physician in the medical department, with a confirmation of a second senior physician.
- Hospitalised in the medical department.
- No objection from the patient of his trusted person.
Exclusion Criteria:
- Administrative supervision or deprived of their liberty
- Pulmonary conditions distracting lung ultrasound (pneumonectomy, pulmonary fibrosis)
- Chronically dialysed
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Patients with acute heart failure
Patients hospitalized for acute heart failure in medical department.
|
We will perform daily a lung ultrasound to evaluate pulmonary congestion by counting B-lines.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lung ultrasound aspect according to diuretics dosage evolution.
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lung ultrasound aspect according to clinical signs of acute heart failure (crackling auscultation or lower limbs edema)
Time Frame: LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines number on LUS
|
LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
|
Lung ultrasound aspect according to acute kidney injury (based on plasmatic creatinine levels).
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days). Plasmatic creatinine measure will be performed at least weekly.
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days). Plasmatic creatinine measure will be performed at least weekly.
|
|
Lung ultrasound aspect according to early prognosis (re-hospitalisation or mortality within 30 days after discharge)
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days). Patient will be called 30 days after discharge.
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days). Patient will be called 30 days after discharge.
|
|
Feasibility of daily LUS in medical department.
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
Number of LUS performed compared to number of hospitalisation days.
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
|
Interest of LUS compared to clinical examination at discharge.
Time Frame: LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines at discharge compared to clinical signs of acute heart failure.
|
LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Perrine Dumanoir, Doctor, University Hospital, Grenoble
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gargani L, Pang PS, Frassi F, Miglioranza MH, Dini FL, Landi P, Picano E. Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: a lung ultrasound study. Cardiovasc Ultrasound. 2015 Sep 4;13:40. doi: 10.1186/s12947-015-0033-4.
- Ohman J, Harjola VP, Karjalainen P, Lassus J. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail. 2018 Feb;5(1):120-128. doi: 10.1002/ehf2.12208. Epub 2017 Sep 28.
- Coiro S, Rossignol P, Ambrosio G, Carluccio E, Alunni G, Murrone A, Tritto I, Zannad F, Girerd N. Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure. Eur J Heart Fail. 2015 Nov;17(11):1172-81. doi: 10.1002/ejhf.344. Epub 2015 Sep 29.
- Platz E, Merz AA, Jhund PS, Vazir A, Campbell R, McMurray JJ. Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review. Eur J Heart Fail. 2017 Sep;19(9):1154-1163. doi: 10.1002/ejhf.839. Epub 2017 May 30.
- Volpicelli G, Caramello V, Cardinale L, Mussa A, Bar F, Frascisco MF. Bedside ultrasound of the lung for the monitoring of acute decompensated heart failure. Am J Emerg Med. 2008 Jun;26(5):585-91. doi: 10.1016/j.ajem.2007.09.014.
- Rusu DM, Siriopol I, Grigoras I, Blaj M, Ciumanghel AI, Siriopol D, Nistor I, Onofriescu M, Sandu G, Cobzaru B, Scripcariu DV, Diaconu O, Covic AC. Lung Ultrasound Guided Fluid Management Protocol for the Critically Ill Patient: study protocol for a multi-centre randomized controlled trial. Trials. 2019 Apr 25;20(1):236. doi: 10.1186/s13063-019-3345-0.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
December 1, 2020
Primary Completion (Anticipated)
May 1, 2021
Study Completion (Anticipated)
October 1, 2021
Study Registration Dates
First Submitted
September 8, 2020
First Submitted That Met QC Criteria
November 12, 2020
First Posted (Actual)
November 18, 2020
Study Record Updates
Last Update Posted (Actual)
November 18, 2020
Last Update Submitted That Met QC Criteria
November 12, 2020
Last Verified
November 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 38RC20.328
- 2020-A02413-36 (Other Identifier: ID RCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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