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Single Troponin Accelerated Triage of Chest Pain (STAT-Chest Pain) Study: Assessment of the safety and efficacy of an innovative pathway used to triage patients presenting to the Emergency Department with chest pain.

Not Applicable
Completed
Conditions
Acute coronary syndrome
Chest pain
Myocardial ischaemia
Angina pectoris
Cardiovascular - Coronary heart disease
Public Health - Health service research
Registration Number
ACTRN12618000797279
Lead Sponsor
Department of Cardiology, Royal Perth Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
2264
Inclusion Criteria

This study will aim to recruit all adult patients (>18 years old), presenting to the Royal Perth Hospital Emergency Department with chest pain who are managed as part of the Suspected ACS pathway for the duration of the study.

Exclusion Criteria

•< 18 years old
•ST-elevation myocardial infarction (STEMI) diagnosed on, or prior to, arrival in ED
•Clear non-cardiac cause of chest pain / no indication for troponin measurement
•Need for hospital admission due for reasons apart from chest pain (e.g. other medical problems requiring admission and investigation)
•Patients with impaired capacity or unable to provide opt out consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary efficacy outcome: The proportion of patients presenting with a suspected / possible NSTEACS who are discharged from ED in < 3 hours. This data will be gathered from hospital admission records.<br><br>[ Patients discharged from ED in < 3 hours from presentation to ED. Data will be collected retrospectively 24-72 hrs after the patient has been discharged.];Primary safety outcome: The percentage of patients who are discharged directly from the ED who suffer a major adverse cardiac event (defined as all cause death or acute MI), This data will be gathered by a 30 day follow up phone call and through data linkage with state-based data warehouses. [ 30 Days from initial hospital presentation.]
Secondary Outcome Measures
NameTimeMethod
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