A multicentre randomized controlled trial to improve the AccUracy of Referrals to the emerGency departmEnt of patieNts with chesT pain by using the modified HEART score in Emergency Medical Transport(URGENT 2.0)

Recruiting

Conditions: acute coronary syndrome
heart attack
10082206

Registration Number: NL-OMON55210

Lead Sponsor: Viecuri Medisch Centrum voor Noord-Limburg

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 852

Inclusion Criteria

- Age >= 18 years.
- Chest pain or other complaints suspect of ACS for at least 2 hours where the
GP or emergency medical personnel are in need of further diagnostics or risk
stratification to come to a decision of referral.
- Patients, who have been informed of the nature of the study, agree to its
provisions and have provided written informed consent.

Exclusion Criteria

-- Electrocardiographic ST-segment elevation/High suspicion of STE-ACS.
- Suspicion of an acute non-coronary diagnosis e.g. pulmonary embolism,
thoracic aortic dissection or other life-threatening disease.
- Patients presenting cardiogenic shock, defined as: systolic blood pressure
<90mmHg and heart rate >100 and peripheral oxygen saturation <90% (without
oxygen administration)
- Patients presenting with sudden onset heart rhythm disorders and second or
third degree atrioventricular block.
- Patients with confirmed ACS, PCI or CABG <30 days prior to inclusion.
- Impaired consciousness defined as an EMV <8.
- Severe shortness of breath.
- Patients with known end-stage renal disease (dialysis and/or MDRD < 30
ml/min).
- Patients with known cognitive impairment.
- Communication issues with patient/language barrier.
- Patients already participating in an interventional cardiology or
cardiovascular trial.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary objective is referring patients with ACS more promptly to the<br /><br>cardiac ED and ruling out ACS in patients with NCCP without referral. We aim to<br /><br>evaluate the percentual reduction of unnecessary referred patients (patients<br /><br>admitted to the cardiac ED with NCCP) in comparison to our control group.</p><br>

Secondary Outcome Measures