POCUS Screening for TAA in Hypertensive Patients in the ED

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorChinese University of Hong Kong

About this trial

The investigators are going to recruit hypertensive patients in the emergency department of Prince of Wales Hospital. Point-of-care ultrasound of the aorta and measurements of the aortic diameter will be obtained. Other relevant clinical data will also be obtained for analysis. The primary outcome is the number of patients with a maximum aortic diameter of ≥ 4.5 cm and/or ≥ 50% localized enlarged diameter relative to the adjacent normal segment as indicated by POCUS.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adult patients aged ≥ 18 years attending the ED during the study period

Known history of hypertension or newly diagnosed hypertension in the ED

Disqualifiers

Known history of aortic aneurysm or dissection

Previous thoracic aortic interventions or endovascular stenting

Patients in cardiopulmonary resuscitation

Traumatic patients

Trial population

hypertensives patients attending the emergency department without known history of aortic diseases.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Point-of-care ultrasound

    Diagnostic test

    POCUS screening will be conducted to measure the maximum diameters at end diastole of the aortic root, ascending aorta, aortic arch, and descending thoracic aorta.

Treatment groups

1,483 Participants
are divided into 1 treatment group
Group A: hypertensive patients presenting to the emergency department1 intervention

Trial outcomes

Primary outcomes

1

number of patients with a dilated aorta

is the number of patients with a maximum aortic diameter of ≥ 4.5 cm and/or ≥ 50% localized enlarged diameter relative to the adjacent normal segment as indicated by POCUS

Time frame
Day 1

Secondary outcomes

1

number of patients with confirmed TAA

number of patients with confirmed TAA as verified by CTA

Time frame
through study completion, an average of 1 year

Other outcomes

1

BMI for all participants

BMI in kg/m\^2

Time frame
at the time of recruitment
2

number of CTA scans

number of CTA scans conducted for TAA confirmation

Time frame
through study completion, an average of 1 year
3

number of surgical interventions

number of surgical interventions performed among TAA patients

Time frame
from recruitment to 28 days after
4

ICU and hospital length of stay

ICU and hospital length of stay among patients with treatment for TAA

Time frame
through study completion, an average of 1 year

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Chinese University of Hong Kong

Lead sponsor

Hospital Authority, Hong Kong

Collaborator

This trial is not recruiting at the moment. You can still explore other options: