Low-Risk Chest Pain Echo Study

Not Applicable

Not yet recruiting

• Conditions: Chest Pain
• Interventions: Diagnostic Test: Point-of-Care Echocardiogram

• Registration Number: NCT05785923
• Lead Sponsor: University of Kansas Medical Center

Brief Summary

Pilot study to assess if a bedside point-of-care echocardiogram performed on emergency department patients identified as low-risk chest pain prior to discharge significantly changes patient disposition or follow up instructions.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-02-13
• Status Verified: 2023-03
• Study First Submitted QC: 2023-03-23
• Last Update Submitted: 2023-03-23
• Study First Posted: 2023-03-27
• Last Update Posted: 2023-03-27
• Study Start: 2023-04-05
• Primary Completion: 2023-07-30
• Study Completion: 2023-11-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Adults presenting to the emergency department with an isolated chief complaint of chest pain with a HEART score of 3 or less
• Emergency physician of record has decided to discharge this patient from the Emergency Department

Exclusion Criteria

• Patients who are unable to consent for themselves
• History of cardiac transplant or LVAD
• Pediatric patients
• Patients presenting with multiple complaints in addition to chest pain
• Echocardiogram already performed on patient during usual care
• Patients with another non-cardiac admittable diagnosis
• HEART score greater than or equal to 4

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Echo Arm	Point-of-Care Echocardiogram	Chest pain patients identified by their treating physician as being low-risk chest pain will undergo a point-of-care echocardiogram performed by a trained emergency medicine attending or resident prior to discharge from the emergency department. The physician of record will review this ultrasound and it will be documented whether the findings on the ultrasound changed the physician of record's disposition decision for the patient or the follow up instructions or medications.

Primary Outcome Measures

Name	Time	Method
Disposition	Day of enrollment	Will assess if the result of the point-of-care echocardiogram resulted in the physician of record changing subject disposition from discharge to admission. We will assess this by asking the physician of record what the disposition plan is for the patient and recording their answer on IRB approved data collection sheet.

Secondary Outcome Measures

Name	Time	Method
Follow up instructions	day of enrollment	Will assess if the result of the point-of-care echocardiogram changed the follow up instructions or discharge medication decision for the enrolled subject as determined by the physician of record by asking them if the echo results caused them to add any additional discharge instructions for the patient. We will record their answer on the IRB approved data collection sheet.