Telemedical vs. Conventional Prehospital Care in Acute Coronary Syndromes

Completed

• Conditions: Acute Coronary Syndrome
• Interventions: Procedure: Telemedical support

• Registration Number: NCT03132935
• Lead Sponsor: RWTH Aachen University

Brief Summary

Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups.

Detailed Description

Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups. All data was collected prospectively for quality management purposes and analyzed retrospectively after ethical approval by the local ethics committee.

Study Timeline

• Study Start: 2014-01-01
• Primary Completion: 2015-07-31
• Study Completion: 2015-07-31
• Status Verified: 2017-04
• Study First Submitted: 2017-04-24
• Study First Submitted QC: 2017-04-24
• Last Update Submitted: 2017-04-24
• Study First Posted: 2017-04-28
• Last Update Posted: 2017-04-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 221

Inclusion Criteria

symptoms of acute coronary syndrome -

Exclusion Criteria

secondary transfers from hospital to hospital, traumatic chest pain

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Telemedicine group	Telemedical support	Telemedical care of acute coronary syndromes in the prehospital phase. Paramedics were supported by a physician in a tele consultation centre.

Primary Outcome Measures

Name	Time	Method
Adverse events	prehospital phase (0.5-2 hours)	respiratory / circulatory insufficiency, allergic reaction, cardiac arrest

Secondary Outcome Measures

Name	Time	Method
Correct use of Glyceroltrinitrate	prehospital phase (0.5-2 hours)	Correct use of Glyceroltrinitrate based on current guidelines
Correct use of unfractionated Heparin (UFH)	prehospital phase (0.5-2 hours)	Correct use of UFH based on current guidelines
Use of 12-lead-ECG	prehospital phase (0.5-2 hours)	Use of 12-lead-ECG after first medical contact
Correct use of oxygen	prehospital phase (0.5-2 hours)	Correct use of Morphine based on current guidelines
Correct use of Aspirin	prehospital phase (0.5-2 hours)	Correct use of Aspirin based on current guidelines
Correct use of Morphine	prehospital phase (0.5-2 hours)	Correct use of Morphine based on current guidelines
Correct transport destination	prehospital phase (0.5-2 hours)	hospital with cath lab in ST-segment elevation myocardial infarction or high-risk Non-STEMI-ACS

Trial Locations

Locations (1)

University Hospital Aachen; 🇩🇪 Aachen, Germany