[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"diaphragmatic-ultrasound\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:diaphragmatic-ultrasound":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,41],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100603111","diaphragm-response-in-elderly-for-acute-monitoring-100603111",false,"NCT07132268","Diaphragm Response in Elderly for Acute Monitoring","Using Diaphragmatic Ultrasound to Predict Acute Respiratory Distress (ARD) in Patients Aged 75 and Over Admitted to the Emergency Department for Acute Dyspnea : Prospective Multicenter Study.","DREAM","Inclusion Criteria:\n\n* Patients aged ≥ 75 years\n* Emergency admission for acute dyspnea\n* Requiring an emergency ultrsoung.\n\nExclusion Criteria:\n\n* Acute respiratory distress requiring immediate invasive or non-invasive ventilation\n* Respiratory rate ≥ 25 breaths\u002Fmin, and\u002For SpO2 ≤ 90% on room air, and\u002For PaO2 ≤ 60 mmHg\n* Known diaphragmatic paralysis\n* Patients with degenerative neuromuscular disease\n* State of shock: systolic blood pressure \\\u003C 90 mmHg and\u002For mean arterial pressure \\\u003C 65 mmHg and\u002For presence of skin mottling and\u002For CTR \\> 3s\n* Lactate levels \\> 2 mmol\u002FL\n* Hypercapnic respiratory acidosis (pH \\\u003C 7.38 and PaCO2 \\> 45 mmHg)\n* Dyspnea due to metabolic acidosis (e.g., diabetic ketoacidosis, renal failure)\n* Dyspnea of traumatic origin\n* Refusal to participate or inability to provide informed consent\n* Patients deprived of liberty\n* Patients under guardianship or curatorship","ALL","75 Years",{"count":20,"type":21},145,"ESTIMATED","OBSERVATIONAL","Acute dyspnea is a common cause of emergency department admissions among elderly patients. Acute respiratory failure is often multifactorial and requires rapid and reliable evaluation. Currently, management relies on clinical, biological, and radiological assessments, but diaphragmatic ultrasound could provide an additional tool for real-time respiratory function evaluation. This study aims to integrate this non-invasive technology into the initial assessment of patients to improve care pathways. Hypothesis : Diaphragmatic ultrasound enables reliable assessment of respiratory function and can predict the need for mechanical ventilation.",[25,26,27],"Acute Dyspnea","Acute Respiratory Failure","Diaphragmatic Ultrasound","NOT_YET_RECRUITING","2026-05-05",{"date":31,"type":32},"2026-05-06","ACTUAL",{"date":34,"type":21},"2026-06",{"date":36,"type":21},"2028-06",{"name":38,"class":39},"Centre Hospitalier de Bethune","NETWORK",9,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":47,"eligibilityCriteria":48,"healthyVolunteers":11,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":50,"targetDuration":4,"studyType":52,"phases":53,"briefSummary":55,"conditions":56,"keywords":61,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":5},"100566050","evaluation-of-the-relevance-of-diaphragmatic-stroke-ultrasound-for-the-etiological-diagnosis-of-acute-respiratory-distress-in-an-emergency-department-100566050","NCT06650137","Evaluation of the Relevance of Diaphragmatic Stroke Ultrasound for the Etiological Diagnosis of Acute Respiratory Distress in an Emergency Department.","Evaluation of the Relevance of Diaphragmatic Stroke Ultrasound for the Etiological Diagnosis of Acute Respiratory Distress in an Emergency Department: a Prospective Multicenter Study.","EchoDiaph","Inclusion Criteria:\n\n* Patients 18 years of age or older;\n* Patient with ARD defined by respiratory rate (RR) strictly superior to 25 and\u002For signs of struggle which are: thoraco-abdominal rocking, active abdominal breathing, recruitment of extra-diaphragmatic respiratory muscles AND\n* peripheral saturation (SpO2) strictly inferior to 90% and\u002For hypercapnic acidosis (pH strictly inferior to 7.35 and pCO2 strictly superior to 45mmHg) on arterial blood gases;\n* Spontaneous ventilation.\n* Patients presenting a clinical severity score of Grade 1 with signs of struggle, as well as those with Grade 2 and Grade 3. A clinical severity score will be used as follows: Grade 1: Minimal polypnoea with respiratory rate (RR) between 20 and 25 ; Grade 2: Moderate polypnoea with respiratory rate (RR) between 25 and 35; Grade 3: Major polypnoea with respiratory rate (RR) between 35 to 50.\n\nExclusion Criteria:\n\n* Adult protected by law (guardianship, curatorship, legal protection)\n* Refusal of consent after information\n* Patient on non-invasive ventilation ;\n* Patient on mechanical ventilation;\n* Respiratory rate superior to 50\u002Fmin\n* Patient currently being treated for infectious pneumopathy with antibiotics;\n* Pregnant or breast-feeding women;\n* Patients with any known history of diaphragmatic pathologies.\n* Illiterate or unable to understand the purpose and methodology of the study.\n* Patient not affiliated to a social security scheme or not benefiting from such a scheme.\n* Person deprived of liberty (by judicial or administrative decision, or forced hospitalization)\n* Person participating in another study with an exclusion period still in progress,","18 Years",{"count":51,"type":21},100,"INTERVENTIONAL",[54],"NA","The goal of this Prospective interventional multicenter diagnostic study is to investigate the use of diaphragmatic ultrasound (DE) as a diagnostic tool in an adult emergency department for patients in acute respiratory distress.\n\nThe main question it aims to answer is to evaluate the relevance of measuring the Sum of Plateau Times (SPT) by Clinical Ultrasound in Emergency Medicine (CHEM) for the diagnosis of pneumopathy during acute respiratory distress (ARD) in the Emergency Department.\n\nSecondary objectives include the study of other diaphragmatic ultrasound parameters, inspiratory plateau time (IPT) and expiratory plateau time (EPT), and the diagnostic relevance of PTS for the diagnosis of decompensation of Chronic obstructive pulmonary disease (BPCO) and acute cardiogenic pulmonary edema (APO).\n\nEach eligible patient will have a right diaphragmatic ultrasound performed by a trained physician, then clinicobiological data will be collected later from medical records, and the etiological diagnosis will be established by a committee of 2 experts in the management of respiratory distress.",[57,58,27,59,60],"Pneumonia","Diaphragm; Movement","Emergency Medical Services","Acute Respiratory Distress Syndrome (ARDS)",[62,63,57,64,65,66,67],"Diaphragmatic ultrasound,","ultrasonography","Diaphragm","Acute respiratory failure","Emergency","Diaphragmatic excursion","RECRUITING","2024-12-03",{"date":71,"type":32},"2024-12-06",{"date":73,"type":32},"2024-11-27",{"date":75,"type":21},"2026-11-01",{"name":77,"class":78},"University Hospital, Montpellier","OTHER"]