NCT02283892

Respiratory Complaints Checklist Trial

Randomized Clinical Trial of the Impact of a Respiratory Complaints Assessment Checklist on Resources Utilization and Clinical Outcomes in an Acute Evaluation Outpatient Clinic

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 39 (actual)
• Sponsor: Hospital de Clinicas de Porto Alegre · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This is a randomized clinical trial that evaluates the impact of using an internet-based checklist for systematic assessment of patients reporting respiratory complaints with the conventional assessment, without using the checklist.

Detailed description

This is a randomized clinical trial that evaluates the impact of using an internet-based checklist for systematic assessment of patients reporting respiratory complaints with the conventional assessment, without using the checklist. Study setting: emergency department related acute evaluation outpatient clinic Inclusion criteria: 18 years of age or older; patients presenting to the ED reporting cough or dyspnea; Exclusion criteria: acute respiratory failure; SpO2 \< 92%; any signs of hemodynamic or respiratory instability; possible concurrent diagnosis requiring immediate assessment (e.g..: acute coronary syndrome or stroke; ) Primary outcome: need of reassessment in the ED or hospitalization within 1 month of index evaluation (intervention). Secondary outcomes: number of complete blood counts ordered in the index evaluation; number of other diagnostic tests ordered in the index evaluation; Randomization: block 1:1; stratified by gender and age (\>50 years old). Masking will be appllied to: patients; outcome assessors; data analysts;

Conditions

• Dyspnea
• Cough

Interventions

Type	Name	Description
OTHER	Checklist	3 page checklist with suggestions of possible diagnosis according to clinical presentation of patients presenting with dyspnea or cough; also suggests diagnostic tests that are likely to be useful in each situation.
OTHER	Conventional evaluation	Physician evaluation without the use of checklists

Timeline

• Start date: 2014-01-01
• Primary completion: 2016-01-01
• Completion: 2016-01-01
• First posted: 2014-11-05
• Last updated: 2016-02-23

Locations

1 site across 1 country: Brazil