Validation of the Panic Screening Score in Patient With Unexplained Chest Pain

• Conditions: Panic Attack; Noncardiac Chest Pain
• Interventions: Other: No intervention

• Registration Number: NCT02405052
• Lead Sponsor: CISSS de Chaudière-Appalaches

Brief Summary

Panic-like anxiety ( panic attacks with or without panic disorder), a highly treatable condition, is the most prevalent condition associated with unexplained chest pain in the emergency department. Panic-like anxiety may be responsible for a significant portion of the negative consequences of unexplained chest pain, such as functional limitations and chronicity. However, more than 92% of panic-like anxiety cases remain undiagnosed at the time of discharge from the emergency department. The 4-item Panic Screening Score questionnaire was derived in order to increase the identification of panic-like anxiety in emergency department patients with unexplained chest pain.

The goals of this prospective cohort study are to (1) refine the Panic Screening Score; (2) validate the revised version of the Panic Screening Score; (3) measure the reliability of the revised version of the Panic Screening Score and (4) assess the acceptability of the instrument among emergency physicians.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-07
• Status Verified: 2015-03
• Study First Submitted: 2015-03-29
• Study First Submitted QC: 2015-03-31
• Last Update Submitted: 2015-03-31
• Study First Posted: 2015-04-01
• Last Update Posted: 2015-04-01
• Primary Completion: 2015-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 3000

Inclusion Criteria

Presenting unexplained chest pain as defined by:

• the absence of an identifiable cause (e.g., pneumothorax,pneumonia),
• the absence of chest trauma,
• the absence of new malignant cardiac arrhythmia, and
• a score of 2 or less on the modified version of the thrombolysis in myocardial infarction score.

Exclusion Criteria

• presence of a terminal illness;
• presence of a severe communication problem that could interfere with the administration of the questionnaire;
• presence of a psychotic state, a major cognitive deficit or other condition that could invalidate the interview;
• being legally incompetent.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients	No intervention	Emergency department patients with unexplained chest pain

Primary Outcome Measures

Name	Time	Method
Accuracy of the Panic Screening Score	3 years

Trial Locations

Locations (1)

Centre de recherche, CSSS Alphonse-Desjardins, Centre hospitalier affilié universitaire de Lévis; 🇨🇦 Lévis, Quebec, Canada