Comparing two ways to drain fluid from the chest in emergency departments
Tests manual fluid removal against gravity drainage in adults with pleural effusion.
Plain-language title generated from the registry record
Registry title: Strategy for Prompt and Effective Thoracentesis in the Emergency Department
Key facts
- Where
- Aalborg, Aarhus, Esbjerg, Gødstrup, Horsens, and Randers, DenmarkSee the 6 sites
Where in Denmark
- Aalborg University HospitalAalborg, DenmarkTaking people
- Aarhus University HospitalAarhus, DenmarkNot yet recruiting
- Esbjerg SygehusEsbjerg, DenmarkTaking people
- Gødstrup Regional HospitalGødstrup, DenmarkNot yet recruiting
- Horsens Regional HospitalHorsens, DenmarkTaking people
- Randers Regional HospitalRanders, DenmarkTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of Aarhus
- Trial code
- NCT06180603
- Record updated
- 5 December 2024
- Original description
The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.Read full original descriptionShow less
Strategy for Prompt and Effective Thoracentesis in the Emergency Department: A Multicenter Randomized Clinical Trial
The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.
Inclusion: Patients ≥ 18 years admitted to the ED; Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography); Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion; Without contraindication for thoracentesis in the emergency department (e.g., anticoagulant treatment).
Exclusion: Previous pleurodesis; Prior enrollment in the trial; Life-threatening respiratory distress; Not able to give consent; Effusion does not appear free-flowing due to septations or loculations / suspected empyema; If randomization is not possible because decision to insert a pigtail catheter is made in the radiology department.