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NT-proBNP in Acute Dyspnea: Effects on Treatment, Hospitalisation and Costs

This study has been completed.

Sponsored by: Erasmus Medical Center
Information provided by: Erasmus Medical Center
ClinicalTrials.gov Identifier: NCT00410293
  Purpose

Diagnostic uncertainty in patients with complaints of shortness of breath presenting to the Emergency Department of a hospital may delay treatment and proper care. In patients with shortness of breath due to heart failure increased plasma levels of NT-pro-B-type natriuretic peptide (NT-proBNP) can be demonstrated. The use of NT-proBNP as a biomarker for heart failure in patients presenting to the emergency department with dyspnea might improve care and reduce length of hospital stay.

To investigate the effect of NT-proBNP testing on patient care and time to discharge the NT-proBNP test will be randomized. In patients in the study group, the NT-proBNP plasma level is determined at admission and the physician in charge will immediately receive the result of the test. In patients in the control group blood will be sampled but the physician will recieve no information on the NT-proBNP plasma level.

In our study we will investigate the effect of introduction of NT-proBNP as biomarker for heart failure on treatment, time to discharge and costs.


Condition Intervention
Heart Failure
Dyspnea
Procedure: NT-proBNP testing

MedlinePlus related topics:   Breathing Problems    Heart Failure   

ChemIDplus related topics:   Nesiritide    Proline   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Diagnostic, Randomized, Single Blind, Placebo Control, Single Group Assignment, Efficacy Study
Official Title:   NT-proBNP Testing in Patients Presenting to the Emergency Department With Acute Dyspnea: Evaluation of Effects on Treatment, Hospitalisation Rate and Costs

Further study details as provided by Erasmus Medical Center:

Primary Outcome Measures:
  • Time to discharge
  • Cost of treatment

Secondary Outcome Measures:
  • Duration of stay at the ED
  • Proportion of patients admitted to the hospital
  • Proportion of patients admitted to an intensive or coronary care unit
  • Specialist consultations
  • Medical treatment
  • Diagnostic investigations

Estimated Enrollment:   500
Study Start Date:   December 2004
Estimated Study Completion Date:   August 2006

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Age 18 years or older
  • Acute dyspnea as their most prominent complaint

Exclusion Criteria:

  • Acute dyspnea due to a trauma
  • Acute dyspnea due to cardiogenic shock
  • Renal failure requiring dialysis
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00410293

Locations
Netherlands
Erasmus MC    
      Rotterdam, Netherlands, 3015 CE

Sponsors and Collaborators
Erasmus Medical Center

Investigators
Principal Investigator:     Anton H. van den Meiracker, MD, PhD     Erasmus MC, Rotterdam, the Netherlands    
  More Information


Study ID Numbers:   MEC-2004-201
First Received:   December 11, 2006
Last Updated:   December 11, 2006
ClinicalTrials.gov Identifier:   NCT00410293
Health Authority:   Netherlands: Medical Ethics Review Committee (METC)

Keywords provided by Erasmus Medical Center:
Heart failure  
Diagnostic  
Natriuretic peptide  
NT-pro B-type natriuretic peptide
Length of stay
Costs

Study placed in the following topic categories:
Natriuretic Peptide, Brain
Signs and Symptoms
Heart Failure
Heart Diseases
Respiratory Tract Diseases
Respiration Disorders
Signs and Symptoms, Respiratory
Emergencies
Dyspnea

Additional relevant MeSH terms:
Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 15, 2008




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