In people presenting to the Emergency Department (ED) at Christchurch Hospital with chest pain, can a the use of a new Emergency Department Assessment of Chest-pain Score (EDACS) compared to the TIMI score increase the proportion of patients successfully” discharged home within 6 hours of ED arrival with no Major Adverse Cardiac Event (MACE) during the following 30 days?

ew Zealand Health Research Council0 个研究点目标入组 530 人开始时间: 2013年7月4日最近更新: 2020年1月13日

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•Adults (age 18 years or older) presenting acutely from the community to the Emergency Department (ED) with chest pain suggestive of acute coronary syndrome for whom, the attending clinician(s) intend(s) to perform serial troponin analysis (cTns), to investigate for possible acute myocardial infarction.
•In accordance with American Heart Association guidelines, possible cardiac symptoms include: the presence of acute chest, epigastric, neck, jaw or arm pain or discomfort or pressure without apparent non-cardiac source.

•ST Segment Elevation Myocardial Infarction (STEMI) present on any electrocardiograph (ECG). (These patients are at very high risk and guidelines mandate immediate transfer to cardiology facilities for treatment and/ monitoring)
•Patients with proven or suspected non-coronary pathology as the cause of chest pain
•Patients who will require admission regardless of a negative cTn, due to other medical conditions, or need for other investigations
•Transfers from other departments or hospitals and patients attending with an acute troponin result already known to be raised before arrival.
•Subjects previously enrolled in this study
•Anticipated problem with follow-up e.g. resident outside New Zealand
•Patient (or Legal Representative) unable or unwilling to provide informed consent
•Patients for whom the researcher does not think that recruitment is appropriate for non-medical reasons (e.g. poor mental status, emotionally vulnerable)

发起方

ew Zealand Health Research Council