Clinical Decision Support System to Define 30 Day Adverse Clinical Events for Emergency Department Acute Coronary Syndromes

• Conditions: Acute Coronary Syndrome; Clinical Decision Support System
• Interventions: Diagnostic Test: Further cardiac imaging

• Registration Number: NCT03286491
• Lead Sponsor: Turkish Ministry of Health Izmir Teaching Hospital

Brief Summary

Acute coronary syndromes are among main complains for patients presenting to emergency department. Risk classification systems are used to classify patients to appropriate risks and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Detailed Description

Acute coronary syndromes are among main complains for patients presenting to emergency department and create a burden to emergency departments and hospitals. Risk classification systems were developed and used to classify patients to appropriate risk groups. According to risk classification, different diagnosis and treatment modalities can be used and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Study Timeline

• Study Start: 2017-08-12
• Status Verified: 2017-09
• Study First Submitted: 2017-09-15
• Study First Submitted QC: 2017-09-15
• Last Update Submitted: 2017-09-15
• Study First Posted: 2017-09-18
• Last Update Posted: 2017-09-18
• Primary Completion: 2017-12-12
• Study Completion: 2018-02-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Presenting to emergency department with acute chest pain consistent with acute coronary syndrome

Exclusion Criteria

• Patients with less than 18 years old
• Patients presenting with ST-segment elevation myocardial infarction
• Patients presenting with other causes of acute chest pain (pneumothorax, pulmonary -embolism, aortic dissection
• Decline to participate in study

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients presenting with acute coronary syndrome	Further cardiac imaging	Patients presenting to emergency department with acute coronary syndrome

Primary Outcome Measures

Name	Time	Method
Non fatal myocardial infarction, cardiac related death or coronary intervention in 30 days	30 days	Patients will be screened for 30 days for Non fatal myocardial infarction, cardiac related death or coronary intervention (coronary angiogram, coronary artery bypass surgery)

Trial Locations

Locations (1)

Izmir Bozyaka Training and Research Hospital; 🇹🇷 Izmir, Turkey