[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100658438":3},{"organization":4,"outcomesModule":7,"designInfo":56,"detailedDescription":16,"studyPopulation":16,"armGroups":65,"interventions":76,"overallOfficials":82,"centralContacts":87,"locations":96,"responsibleParty":195,"collaborators":198,"id":202,"slug":203,"hasResults":204,"nctId":205,"briefTitle":206,"officialTitle":207,"acronym":208,"eligibilityCriteria":209,"healthyVolunteers":204,"sex":210,"minAge":211,"maxAge":16,"enrollmentInfo":212,"targetDuration":16,"studyType":215,"phases":216,"briefSummary":218,"conditions":219,"keywords":221,"overallStatus":228,"whyStopped":16,"lastUpdateSubmitDate":229,"lastUpdatePostDateStruct":230,"startDateStruct":233,"completionDateStruct":235,"leadSponsor":237,"locationsCount":238},{"fullName":5,"class":6},"Central Hospital, Nancy, France","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":16},[9],{"measure":10,"description":11,"timeFrame":12},"Score for appropriate treatments administered during the prehospital emergency medical team (SMUR) intervention.","1\\) This outcome ranges from 0 to 1 (0 = completely inappropriate treatment; 1 = appropriate and effective\u002Fminimal treatment). 2) This outcome requires a review of the final diagnosis of acute dyspnea cases treated by the SMUR, as well as an assessment of whether each treatment administered in the SMUR ambulance was appropriate. This review will be conducted by a multidisciplinary team without knowledge of the randomization group.","Baseline (at the time of the SMUR's intervention).",[14,17,20,22,25,28,31,34,36,38,41,43,47,49,52],{"measure":15,"description":16,"timeFrame":12},"Clinical factors evaluated: diagnosis made in the SMUR ambulance, considered to be consistent with the final diagnosis upon admission.",null,{"measure":18,"description":16,"timeFrame":19},"Clinical factors evaluated: all-cause mortality.","At 30 days, 90 days and 5 years.",{"measure":21,"description":16,"timeFrame":19},"Clinical factors evaluated: readmission for acute dyspnea (following the comittee's decision).",{"measure":23,"description":24,"timeFrame":19},"Clinical factors evaluated: consultations with general practitioners.","Number of consultations with general practitioners.",{"measure":26,"description":27,"timeFrame":19},"Clinical factors evaluated: consultations with specialists.","Number of consultations with specialists.",{"measure":29,"description":30,"timeFrame":19},"Clinical factors evaluated: prescriptions for medication.","Number of prescriptions for medication dispensed.",{"measure":32,"description":33,"timeFrame":19},"Clinical factors evaluated: clinical laboratory tests.","Number of clinical laboratory tests carried out.",{"measure":35,"description":16,"timeFrame":19},"Clinical factors evaluated: readmissions for causes other than acute dyspnea.",{"measure":37,"description":16,"timeFrame":12},"Institutional elements assessed : time taken for the SMUR to initiate appropriate pre-hospital treatment.",{"measure":39,"description":40,"timeFrame":12},"Institutional elements assessed : duration of SMUR interventions.","This outcome is defined as the time interval between the arrival of the SMUR team on scene and the patient's transfer to the next level of care (emergency department or specialized unit).",{"measure":42,"description":16,"timeFrame":12},"Institutional elements assessed : proportion of patients admitted directly (without going through the emergency department) to specialzed units (primarily cardiology, pulmonology, cardiac or respiratory intensive care, and critical care)",{"measure":44,"description":45,"timeFrame":46},"Institutional elements assessed : hospital length of stay following intervention by the SMUR.","Hospital length of stay is defined as the time interval from the end of SMUR care to hospital discharge either to the patient's home or to an outpatient facility.","Baseline.",{"measure":48,"description":16,"timeFrame":46},"Factors relevant to an implementation analysis: the proportion of ultrasound scans performed by the SMUR team in cases of acute dyspnea during the \"ultrasound\" period.",{"measure":50,"description":16,"timeFrame":51},"Factors relevant to an implementation analysis: the level of agreement between the interpretation of ultrasound images by staff trained at the completion of their initial training and at 12 months, and those of an expert reference standard.","Baseline (initial training) and at 12 months.",{"measure":53,"description":54,"timeFrame":55},"Factors relevant to an implementation analysis: the satisfaction of emergency doctors with the implementation of the ultrasound algorithm.","The satisfaction will be assessed using a Likert scale (ranging from 1 to 5, with \"1\" representing the worst result and \"5\" the best).","At 12 months.",{"allocation":57,"interventionModel":58,"interventionModelDescription":59,"primaryPurpose":60,"observationalModel":16,"timePerspective":16,"maskingInfo":61},"RANDOMIZED","PARALLEL","Multicentre, cluster-randomised, stepped-wedge controlled study :\n\nTwo period are compared the period with ultrasound (intervention phase) and the period without ultrasound (control phase).\n\nThe order in which centres switch to the intervention (use of ultrasound) will be randomized, the randomisation concernes centres not patient.\n\nThe study will begin with an initial 2-month period during which no centre will use ultrasound (standard care). Thereafter, two centers will switch to the intervention phase, and every two months, a further two centres will in turn move into the intervention phase. By the end of the study, all centres will have used ultrasound for at least 2 months.","DIAGNOSTIC",{"masking":62,"maskingDescription":16,"whoMasked":63},"SINGLE",[64],"OUTCOMES_ASSESSOR",[66,70],{"label":67,"type":68,"description":69,"interventionNames":16},"no-ultrasound during SMUR interventions.","NO_INTERVENTION","Standard management of acute dyspnea by the SMUR.",{"label":71,"type":72,"description":73,"interventionNames":74},"Intervention phase: use of ultrasound during SMUR interventions.","EXPERIMENTAL","the period during which ultrasound is being implemented for the management of acute dyspnea by the SMUR team.",[75],"Diagnostic Test: Ultrasound pre-hospital care",[77],{"type":78,"name":79,"description":80,"armGroupLabels":81,"otherNames":16},"DIAGNOSTIC_TEST","Ultrasound pre-hospital care","Use of Ultrasound to guide pre-hospital care for the management of acute dyspnea by the Mobile Emergency Medical Service (SMUR).",[71],[83],{"name":84,"affiliation":85,"role":86},"Nicolas GIRERD","CHRU de Nancy, France","PRINCIPAL_INVESTIGATOR",[88,92],{"name":84,"role":89,"phone":90,"phoneExt":16,"email":91},"CONTACT","+33 03 83 15 73 24","n.girerd@chru-nancy.fr",{"name":93,"role":89,"phone":94,"phoneExt":16,"email":95},"Tahar Chouihed","+33 03 83 85 25 76","T.CHOUIHEDMAHJOUB@chru-nancy.fr",[97,109,118,127,136,145,153,162,168,177,186],{"facility":98,"status":16,"city":99,"state":16,"zip":100,"country":101,"countryCode":102,"cosmosGeoPoint":103,"geoPoint":108,"contacts":16},"Centre Hospitalier d'Argenteuil","Argenteuil","95100","France","FR",{"type":104,"coordinates":105},"Point",[106,107],2.24744,48.94788,{"lat":107,"lon":106},{"facility":110,"status":16,"city":111,"state":16,"zip":112,"country":101,"countryCode":102,"cosmosGeoPoint":113,"geoPoint":117,"contacts":16},"CHU Clermont-Ferrand, Hôpital Gabriel Montpied","Clermont-Ferrand","63000",{"type":104,"coordinates":114},[115,116],3.08682,45.77969,{"lat":116,"lon":115},{"facility":119,"status":16,"city":120,"state":16,"zip":121,"country":101,"countryCode":102,"cosmosGeoPoint":122,"geoPoint":126,"contacts":16},"Centre Hospitalier Annecy Genevois","Épagny","74370",{"type":104,"coordinates":123},[124,125],6.08302,45.93584,{"lat":125,"lon":124},{"facility":128,"status":16,"city":129,"state":16,"zip":130,"country":101,"countryCode":102,"cosmosGeoPoint":131,"geoPoint":135,"contacts":16},"CHU Lille","Lille","59037",{"type":104,"coordinates":132},[133,134],3.05512,50.63391,{"lat":134,"lon":133},{"facility":137,"status":16,"city":138,"state":16,"zip":139,"country":101,"countryCode":102,"cosmosGeoPoint":140,"geoPoint":144,"contacts":16},"Groupe Hospitalier de la Région de Mulhouse et Sud Alsace - Hôpital Emile Muller.","Mulhouse","68100",{"type":104,"coordinates":141},[142,143],7.32866,47.75205,{"lat":143,"lon":142},{"facility":146,"status":16,"city":147,"state":16,"zip":16,"country":101,"countryCode":102,"cosmosGeoPoint":148,"geoPoint":152,"contacts":16},"Centre Hospitalier Régional Universitaire de Nancy","Nancy",{"type":104,"coordinates":149},[150,151],6.18496,48.68439,{"lat":151,"lon":150},{"facility":154,"status":16,"city":155,"state":16,"zip":156,"country":101,"countryCode":102,"cosmosGeoPoint":157,"geoPoint":161,"contacts":16},"Hôpital Lariboisière AP-HP, Paris.","Paris","75010",{"type":104,"coordinates":158},[159,160],2.3488,48.85341,{"lat":160,"lon":159},{"facility":163,"status":16,"city":155,"state":16,"zip":164,"country":101,"countryCode":102,"cosmosGeoPoint":165,"geoPoint":167,"contacts":16},"Hôpital de la Pitié Salpêtrière - AP-HP","75013",{"type":104,"coordinates":166},[159,160],{"lat":160,"lon":159},{"facility":169,"status":16,"city":170,"state":16,"zip":171,"country":101,"countryCode":102,"cosmosGeoPoint":172,"geoPoint":176,"contacts":16},"CHU de Poitiers","Poitiers","85021",{"type":104,"coordinates":173},[174,175],0.34348,46.58261,{"lat":175,"lon":174},{"facility":178,"status":16,"city":179,"state":16,"zip":180,"country":101,"countryCode":102,"cosmosGeoPoint":181,"geoPoint":185,"contacts":16},"CHU de Reims","Reims","51100",{"type":104,"coordinates":182},[183,184],4.02853,49.26526,{"lat":184,"lon":183},{"facility":187,"status":16,"city":188,"state":16,"zip":189,"country":101,"countryCode":102,"cosmosGeoPoint":190,"geoPoint":194,"contacts":16},"CHU Rouen - Hôpital Charles Nicolle","Rouen","76031",{"type":104,"coordinates":191},[192,193],1.09932,49.44313,{"lat":193,"lon":192},{"type":86,"investigatorFullName":196,"investigatorTitle":197,"investigatorAffiliation":5,"oldNameTitle":16,"oldOrganization":16},"Pr. Nicolas GIRERD","Professor of Medicine (PU-PH)",[199],{"name":200,"class":201},"Direction Générale de l'Offre de Soins","OTHER_GOV","100658438","implementation-of-mobile-intensive-care-unit-ultrasound-based-management-for-acute-dyspnea-100658438",false,"NCT07852364","Implementation of Mobile Intensive Care Unit Ultrasound Based Management for Acute Dyspnea","Implementation of Mobile Intensive Care Unit Ultrasound Based Management for Acute Dyspnea: A Stepped Wedge Cluster Randomized Controlled Trial - IMICU2 Dyspnea","IMICU2-Dyspnea","Inclusion Criteria:\n\n* Patient ≥ 18 years olds\n* Patients with non-traumatic acute dyspnea requiring intervention and management by an emergency medical services team\n* Patient receiving oxygen during emergency medical services treatment\n* Patients affiliated with a social security system\n\nExclusion Criteria:\n\n* Patient for whom the reason for intervention is chest pain or shock\n* Patient with impaired consciousness requiring immediate intubation\n* Patients under guardianship, trusteeship or legal protection\n* Patients deprived of their liberty by judicial or administrative decision, persons undergoing psychiatric care\n* Patients who objects to the processing of their personal data for study-related quality control, monitoring, audit, or regulatory compliance purposes.","ALL","18 Years",{"count":213,"type":214},800,"ESTIMATED","INTERVENTIONAL",[217],"NA","This multicentre, cluster-randomised, stepped-wedge clinical trial aims to assess whether an intervention designed to implement an ultrasound-guided pre-hospital care pathway for the management of acute dyspnea would improve the effectiveness and efficiency of the mobile emergency medical service (SMUR) compared with standard care.\n\nThe order in which centres switch to the intervention (use of ultrasound) will be randomized. The study will begin with an initial 2-month period during which no centre will use ultrasound (standard care). Thereafter, two centers will switch to the intervention phase, and every two months, a further two centres will in turn move into the intervention phase. By the end of the study, all centres will have used ultrasound for at least 2 months.\n\nA total of 800 adults patients treated for acute dyspnea by the SMUR and meeting the inclusion criteria will be enrolled. Each patient's management will be determined by the study phase in effect at their centre at the time of enrolment (control phase without ultrasound or intervention phase with ultrasound).\n\nThe appropriateness of treatments administered during SMUR interventions will be compared between the period with ultrasound (intervention phase) and the period without ultrasound (control pahse).",[220],"Acute Dyspnea",[222,223,224,225,226,227],"primary care","acute dyspnea","healthcare organisation","strategy","implementation","ultrasound","NOT_YET_RECRUITING","2026-09-30",{"date":231,"type":232},"2026-10-01","ACTUAL",{"date":234,"type":214},"2027-01-10",{"date":236,"type":214},"2033-03-10",{"name":5,"class":6},11]