Rapid safe approach to determining which patients who present to the Emergency Department with chest pain of a possible cardiac origin may be safely discharged.
Not Applicable
Recruiting
- Conditions
- Chest painAcute Coronary SyndromeCardiovascular - Coronary heart disease
- Registration Number
- ACTRN12614000417684
- Lead Sponsor
- Andrew Munro
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 400
Inclusion Criteria
Patients who present to the ED with chest pain of possible Acute coronary syndrome (ACS) origin with non-diagnostic ECG and no immediately obvious other cause.
Exclusion Criteria
Dementia/mental illness/cognitively impaired
Presentation for chest pain <30 days
Refusal to consent
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Combined death acute myocardial infarction (AMI )at thirty days.<br>Combined record review and follow -up structured telephone interview[Thirty days following index ED presentation]
- Secondary Outcome Measures
Name Time Method Senior ED physician pre-test and post test probability for adverse outcome. pre test probablity is obtained prior to knowledge of HS troponin result. Post test probabilty is designated by the ADP where senior ED physician determines high or non high risk for 30 day ACS/death[30 days following index presentation];ED length of stay[ED length of stay is measured as triage to discharge from ED time. Bench marked against six hour ED length of stay.]