Optimalisatie van telefonische triage op huisartsenposten bij patiënten verdacht voor acute hart- en vaatziekten.
Recruiting
- Conditions
- Acute cardiovascular disease, acute coronary syndrome, transient ischemic attack, stroke.Acute hart- en vaatziekten, acuut coronair syndroom, beroerte.
- Registration Number
- NL-OMON20507
- Lead Sponsor
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 3000
Inclusion Criteria
(I) Recordings of triage conversations of patients with chest discomfort suspected of having an ACS
(II) Recordings of triage conversations of patients with neurological symptoms suspected of having a TIA or stroke
Exclusion Criteria
(I) No triage conversation (recordings of conversations between colleagues or about medication questions)
(II) Recordings of poor quality
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The diagnostic accuracy of the NTS will be analyzed in terms of sensitivity, specificity, positive and negative predictive values of the urgency allocation (high; U1-U2, and low; U3-U5) on the outcomes ACS, and TIA/stroke.
- Secondary Outcome Measures
Name Time Method In addition, a) sensitivity analyses with inclusion of other emergency cases that can result in chest discomfort such as pulmonary embolism, acute heart failure, and thoracic aortic dissection, and other emergency cases that can result in neurological symptoms such as subarachnoid hemorrhage (SAH) and epilepsy, and b) pre-specified subgroup analyses for gender and age will be performed.