ISRCTN21109279
Completed
未知
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 sites1,200 target enrollmentMarch 7, 2013
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Signs and Symptoms
- Sponsor
- Poole Hospital NHS Foundation Trust (UK)
- Enrollment
- 1200
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Not specified
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