Can diagnostic assessment using an ‘Accelerated Pathway’ reduce hospital admissions for chest pain in New Zealand?

Not Applicable

Completed

• Conditions: Cardiac Chest Pain; Cardiovascular - Coronary heart disease; Public Health - Health service research

• Registration Number: ACTRN12610000766011
• Lead Sponsor: Canterbury District Health Board

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2010-09-15
• Study Completion: 2012-08-04
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 542

Inclusion Criteria

1.Adults > 18 years of age
2.Presenting acutely to Christchurch hospital ED with chest pain (or discomfort) suggestive of AMI for whom, following initial clinical assessment, the attending clinician(s) intends to perform serial Cardiac Troponin (cTns), as part of the current chest pain investigation pathway for possible AMI.

Exclusion Criteria

1. ST Segment Elevation Myocardial Infarction (STEMI) present on any ECG.
2. Aged less than 18 years old
3. Proven or suspected non-coronary pathology as the cause of chest pain
4. Patients who will require admission regardless of a negative cTn, due to other medical conditions, need for other investigations or social considerations.
5. Transfers from other hospitals
6. Chest pain episode began over > 12 hours ago and still persisting pain
7. Subjects previously enrolled in this study
8. Patient (or Legal Representative) unable or unwilling to provide informed consent.
9. Anticipated problem with follow-up e.g. resident outside New Zealand
10. Researcher does not feel that recruitment is appropriate (e.g. terminal illness)

Study & Design

• Study Type: Interventional
• Study Design: Not specified