A prospective cohort study to improve the AccUracy of Referrals to the emerGency departmEnt of patieNts with chesT pain: to decrease the delay in acute coronary syndrome patients and rule out non-cardiac chest pain patients (URGENT)
Completed
- Conditions
- acute coronary syndromehartattack10082206
- Registration Number
- NL-OMON45470
- Lead Sponsor
- Viecuri Medisch Centrum voor Noord-Limburg
- Brief Summary
Trial is onging in other countries
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 40
Inclusion Criteria
All patients with chest pain or other complaints suspect of acute coronary syndrome can be included in which the GP at the GP cooperation is in need of further diagnostics to come to a decision.
Exclusion Criteria
Patients younger than 18 years.
Patients in which a typical history and/or physical examination requires immediate referral; high suspicion of acute coronary syndrome.
Patients in which an acute non-coronary diagnosis is suspected, e.g. pulmonary embolism, thoracic aortic dissection etc.
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main study point is a more accurate referral of patients with suspected ACS<br /><br>to the cardiac ED and thus the concordance of suspected ACS and the actual<br /><br>diagnosis. The prompt referral of ACS patients will also be assessed through<br /><br>evaluation of the delays in these patients. Both of these endpoints will be<br /><br>compared to the baseline registry that has been executed from 1st of September<br /><br>2015 until 1st of March 2016. </p><br>
- Secondary Outcome Measures
Name Time Method <p>The secondary study endpoint is MACE at 1 year follow-up. This is a combined<br /><br>endpoint of:<br /><br>1. Mortality<br /><br>2. Any ischemic cardiac event<br /><br>a. ST-elevated myocardial infarction<br /><br>b. Non ST-elevated myocardial infarction<br /><br>c. (Unstable) angina pectoris<br /><br>d. Percutaneous coronary intervention<br /><br>e. Coronary artery bypass graft surgery (CABG)<br /><br>f. Resuscitation</p><br>