An Accelerated Diagnostic Pathway incorporating the Modified Goldman Criteria and 1-hour high-sensitivity troponin testing to identify low-risk Emergency Department patients with chest pain who may be suitable for immediate discharge

Poole Hospital NHS Foundation Trust (UK)0 个研究点目标入组 1,200 人开始时间: 2013年3月7日最近更新: 2017年10月2日

适应症

试验速览

暂无简介。

•1. Consenting adults (age 18-79) presenting to the Emergency Department with at least 5 minutes of chest pain (or discomfort) suggestive of acute coronary syndromes for whom attending clinicians are planning further assessment with delayed (6 hour) troponin testing
•2. Possible symptoms suggestive of acute coronary syndromes include acute chest, epigastric, neck, jaw or arm pain; or chest discomfort or pressure without an apparent non-cardiac source.

•1. Age <18 or >79
•2. Patients with ischaemic initial electrocardiogram (ECG) or ST-elevation infarct
•3. Atypical symptoms (fatigue, nausea, vomiting, diaphoresis, faintness and back pain) in the absence of chest pain or discomfort
•4. An alternative cause of chest pain is suspected at presentation (e.g. pulmonary embolus, dissection, pneumothorax)
•5. Refusal of patient consent
•6. Renal failure requiring dialysis
•7. Unable to speak English language
•8. Follow-up will be impossible
•9. Trauma with suspicion of myocardial contusion
•10. Another medical condition that necessitates hospital admission
•11. Prisoners
•12. Pregnancy

发起方

Poole Hospital NHS Foundation Trust (UK)