Lung Ultrasound in Pleuritic Chest Pain
NCT02107001 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 400
Last updated 2015-12-02
Summary
Chest pain is an alarming symptom and one of the most frequent causes of access to the Emergency Departement. Although chest X-ray remains an essential step in the diagnostic process, several studies showed numerous limitations of radiography which frequently is inconclusive. Ultrasonography is a non-radiating imaging technique. Albeit a wide use of ultrasound, the utilization of ultrasound in the study of the lung has only recently been introduced in the clinical practice. Several studies proved that lung ultrasound is useful in the diagnosis of lung consolidation in community acquired pneumonia. Nowadays, ultrasound is not routinely used in the presence of chest pain. Our hypothesis based on clinical experience is that, in patients with pleuritic chest pain, lung ultrasound is very sensitive in detecting pneumonia and other lung diseases (such as pneumothorax) thus performing better than radiography. The primary aim of this study is to verify, in patients affected by pleuritic chest pain, the accuracy of lung ultrasound compared to chest-X-ray. The secondary aim is to evaluate the accuracy of lung ultrasound consolidations in distinguishing lung consolidation in pneumonia, atelectasis, pulmonary infarction, or tumors.
Conditions
- Community Acquired Pneumonia
- Pleuritis
- Pulmonary Embolism
- Lung Cancer
Interventions
- PROCEDURE
-
Lung ultrasound
Lung ultrasonography performed and interpreted by a physician (Pulmonologist or Emergency Physician) possessing specific knowledge in the procedure and a training of at least 100 thoracic ultrasonographies in accordance to a prespecified protocol.
Sponsors & Collaborators
-
University of Milan
lead OTHER
Principal Investigators
-
Giuseppe Francesco Sferrazza Papa, M.D. · Respiratory Unit, San Paolo Hospital, Dipartimento Scienze della Salute, Università degli Studi di Milano, Milan, Italy.
-
Stefano Centanni, M.D, Ph.D. · Respiratory Unit, San Paolo Hospital, Dipartimento Scienze della Salute, Università degli Studi di Milano, Milan, Italy.
-
Giovanni Volpicelli, M.D. · Emergency Medicine staff Physician San Luigi Gonzaga University Hospital Torino, Italy.
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-03-31
- Primary Completion
- 2015-11-30
- Completion
- 2015-11-30
Countries
- Italy
Study Locations
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