Prognostic Value of Pulse Oximetry Differences

ConditionDyspnea
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age19+
SponsorYonsei University

About this trial

This prospective observational study aims to evaluate whether the difference between finger, earlobe and forehead SpO₂ (ΔSpO₂) measured at emergency department (ED) presentation is associated with clinical outcomes in adult patients presenting with dyspnea. We will compare ΔSpO₂ between patients with poor outcomes (death or intensive care unit \[ICU\] admission) and those with favorable outcomes. Secondary objectives include assessing the prognostic value of ΔSpO₂ for mortality, ICU admission, and lactate, and comparing its predictive performance with established early warning scores.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients aged 19 years or older presenting to the emergency department with dyspnea, classified as KTAS level 1-3

Disqualifiers

Patients in whom SpO₂ measurements were not obtained simultaneously

Patients in whom arterial blood gas analysis was not ordered at initial evaluation

Pregnant patients

Patients with facial trauma or hand trauma

Trial population

We will enroll patients who meet the enrollment criteria who visit an emergency department of a tertiary teaching hospital located in Seoul, South Korea.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

400 Participants
are grouped into 1 trial group
Group A: Dyspnea cohort

Trial outcomes

Primary outcomes

1

In-hospital mortality or ICU admission

In-hospital mortality or ICU admission of index visit

Time frame
From the index emergency department visit through hospital discharge, assessed up to 6 months.

Secondary outcomes

Other outcomes

Sponsors and contacts

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