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RecruitingNCT07754084Updated Nov 5, 2026

Comprehensive Clinical Prediction Rule for Acute Heart Failure

An observational study in Acute Heart Failure (AHF), sponsored by Chinese University of Hong Kong. Recruiting at 3 sites in Hong Kong. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Chinese University of Hong Kong · Observational

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 5, 2026Now RecruitingSite recruiting status changedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
560
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this prospective observational cohort study is to establish a comprehensive clinical prediction rule integrating clinical characteristics, point-of-care testing (POCT) of NT-proBNP, an 8-point LUS, and a rapid cardiac assessment using bedside echocardiography for diagnosing acute heart failure (AHF) in the emergency department. A clinical prediction rule with high diagnostic accuracy will minimize delays and misdiagnoses, as well as the potential harm they may cause to patients. The primary outcome measure is the adjudicated AHF diagnosis. Secondary outcome measures include ED and discharge diagnosis of the patients.

02

Conditions studied

  • Acute Heart Failure (AHF)

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Keywords

  • Acute Heart Failure
  • LUS
  • CXR
  • ECG
  • NT-proBNP
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 560 is above the median of 200 across 1,983 observational studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,454 studies on the registry; 474 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adult patients attending the emergency departments of Prince of Wales, Queen Mary and Tuen Mun Hospital in Hong Kong.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult (aged ≥ 18 years)
  • Suspected AHF or acute dyspnea
  • Symptoms include shortness of breath, swelling of legs, orthopnea, paroxysmal nocturnal dyspnoea, exertional dyspnea or weight gain

Exclusion criteria

Exclusion Criteria:

  • Trauma patients
  • Pregnancy
  • Unstable patients requiring invasive airway intervention
  • Patients who refuse to participate
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
560 participants (estimated)
Patient registry
No

Groups and cohorts

  • Testing Cohort

    Patients from PWH and TMH

    Diagnostic Test: Acute Heart Failure Diagnostic Method

  • Validation Cohort

    Patients from QMH

    Diagnostic Test: Acute Heart Failure Diagnostic Method

Interventions

  • Diagnostic testAcute Heart Failure Diagnostic Method

    Beside echocardiography (to assess the LV function, IVC, pericardial effusion or cardiac tamponade). Blood tests including NT-proBNP for risk stratification. 8 point lung ultrasound to look for B-lines.

    Also known as: Chest X-ray, Lung ultrasound, NT-proBNP, Brest score, Electrocardiogram, Echocardiogram

06

What researchers measure

Primary outcomes

  1. Adjudicated acute heart failure diagnosis

    The primary outcome for model development and validation will be the adjudicated diagnosis of acute heart failure, as determined by independent review according to ESC criteria.

    Time frame: Immediately after the 6 month follow-up.

Secondary outcomes

  1. Emergency department and discharge diagnosis of the patients

    Secondary outcomes include ED and discharge diagnosis of the patients. A telephone follow-up and chart view at 6 months will be done to ascertain the subsequent diagnosis of AHF.

    Time frame: From enrolment to end of review at 6 months.

07

Study locations

1 of 3 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 5, 2026
Sites
3 sites changed recruiting status (2 now not yet recruiting, 1 now recruiting)
Show 3 sites
  • Prince of Wales Hospital · Hong Kong, Hong Kongno status→Recruiting
  • Queen Mary Hospital · Hong Kong, Hong Kongno status→Not yet recruiting
  • Tuen Mun Hospital · Hong Kong, Hong Kongno status→Not yet recruiting
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    Not yet recruiting→Recruiting
    3 sites changed recruiting status (2 now not yet recruiting, 1 now recruiting)
    Show 3 sites
    • Prince of Wales Hospital · Hong Kong, Hong Kongno status→Recruiting
    • Queen Mary Hospital · Hong Kong, Hong Kongno status→Not yet recruiting
    • Tuen Mun Hospital · Hong Kong, Hong Kongno status→Not yet recruiting
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07754084
Collaborators
Prince of Wales Hospital, Shatin, Hong Kong, The University of Hong Kong, Tuen Mun Hospital, Hospital Authority, Hong Koong, Queen Mary Hospital, Hong Kong
Responsible party
Kevin HUNG Kei-ching (Associate Professor, Accident and Emergency Medicine Academic Unit, Chinese University of Hong Kong) — Principal investigator
First posted
Aug 10, 2026
Start date
Aug 17, 2026
Primary completion
Dec 31, 2028 (estimated)
Completion
Jan 31, 2029 (estimated)
Last update
Nov 5, 2026

Study contacts

Theresa Hui
Contact
theresahui@cuhk.edu.hk
+85235051698
Kevin KC Hung, Dr.
principal investigator · Chinese University of Hong Kong

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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