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IRCT20180410039258N1 IRCT 2018-11-08 Mashhad University of Medical Sciences The effect of peak expiratory flowmeter on timing indicators and mistriage among chronic obstructive pulmonary disease patients with dyspnea The effect of peak expiratory flowmeter on timing indicators and mistriage among chronic obstructive pulmonary disease patients with dyspnea 2018-06-23 anticipated 60 Complete https://irct.ir/trial/30588 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Diagnostic, Randomization description: Patients included into the study are randomly assigned into the intervention or control groups. Black and white cards are randomly sorted (black for intervention and white for control group). After inclusion, a card is picked up and patient is assigned to the intervention or control group based on the card color, Blinding description: After intervention in triage room, patients is introduced to the emergency department via routine triage form. Therefore, it is not possible to recognize subjects by physicians and nurses in the emergency room. N/A Chronic obstructive pulmonary disease. Patients in the intervention group is triaged by adding a standard expiratory peak flow meter to the emergency severity index. The peak flow meter shows red, yellow, and green states. Patient is educated to take a deep inspiration and then sealed the lips tightly around the mouthpiece In order to make sure that no air leaks out around the lips, then, perform an rapid expiration into the device. Level 2 is assigned in case of red or O2SAT <92%. Level 3 is assigned in case of yellow or need to more than 2 resources. Level 4 is assigned in case of green or need to only one resource. Level 5 is assigned in case of green or no need to additional resources.. Yes - There is a plan to make this available What will be shared: Only a portion of the data, such as the original outcome information, is shared When: Start the access period 6 months after printing the results To whom: Data will only be available to researchers in universities Conditions: In order to conduct research related to this research Where to obtain: To receive data, applicants can email the following by e-mail hamechifahmm941@mums.ac.ir How to obtain: At the first request, applicants will be given the opportunity to file Comments:
public Mahin Hamechizfahm rudi
Street of Avicenna - Imam Reza Imam (AS)
Mashhad Iran (Islamic Republic of) 9137913316 +98 51 3802 2000 hamechifahmm941@mums.ac.ir Mashhad University of Medical Sciences scientific Mahin Hamechizfahm rudi
Vahdat-Vahdat Street 3
khaf Iran (Islamic Republic of) 9561648785 +98 51 5422 2607 hamechifahmm941@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) The patient who signs informed consent to participate in the research. The age of the patient is over 18 years. The chief complaint of patient is shortness of breath. The patient has a history of chronic obstructive pulmonary disease. 18 years no limit Both The patient is not consented to participate further in the research. Patient file is incomplete. The patient is transferred to the other centers. The patient is unable to perform peak expiratory flowmetery. The patient do not have a history of chest trauma or surgery. J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation Diagnosis Patients in the intervention group is triaged by adding a standard expiratory peak flow meter to the emergency severity index. The peak flow meter shows red, yellow, and green states. Patient is educated to take a deep inspiration and then sealed the lips tightly around the mouthpiece In order to make sure that no air leaks out around the lips, then, perform an rapid expiration into the device. Level 2 is assigned in case of red or O2SAT <92%. Level 3 is assigned in case of yellow or need to more than 2 resources. Level 4 is assigned in case of green or need to only one resource. Level 5 is assigned in case of green or no need to additional resources. Timing indicators. Timepoint: Time to emergency physician- time to specialist visit- time to oxygen therapy. Method of measurement: digital clock. Triage level. Timepoint: Right after intervention. Method of measurement: Emergency severity index. Mashhad University of Medical Sciences Approved 2018-06-30 Regional Ethics Committee on Medical Research Ibn Sina st. - Imam Reza Hospital Mashhad Razavi Khorasan Iran (Islamic Republic of)