Suspected cardiac chest pain in the emergency department

Not Applicable

Completed

• Conditions: Ischaemic heart diseases; Circulatory System

• Registration Number: ISRCTN20029061
• Lead Sponsor: orth Bristol NHS Trust

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2023-05-04
• Study Completion: 2023-05-29
• Last Update Posted: 8 July 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 8621

Inclusion Criteria

1. All adult patients (> = 18 years of age) presenting to the ED with chest pain who trigger testing to rule-in or rule-out a cardiac cause

Exclusion Criteria

1. Patients with another medical condition requiring hospital admission
2. Clear non-ACS cause at presentation
3. Prisoner presenting to ED
4. Non-English speakers where translation is unable to be offered

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Index acute myocardial infarction rate measured using coded diagnosis and assessment of troponin results and ECG changes at discharge from hospital<br>2. Length of stay in the emergency department +/- observation ward measured in minutes at presentation/baseline<br>3. ACS risk stratification strategy used, and patient risk category measured using the risk category as per stratification tool used at each site eg. very low/low/moderate/high at presentation/baseline<br><br>

Secondary Outcome Measures

Name	Time	Method
1. Time to be seen by the treating clinician measured in minutes at presentation/baseline<br>2. Emergency department disposition measured at the discharge destination at discharge from the emergency department<br>3. Discharge diagnosis measured using coded discharge diagnosis at discharge from hospital<br>