The Impact of Point-of-Care Ultrasound Echocardiography on the Disposition of Low-Risk Chest Pain Patients in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 主要终点
- Disposition
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Echo Arm
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.
干预措施: Point-of-Care Echocardiogram (Diagnostic Test)
Usual Care
Chest pain patients identified by their treating physician as being low-risk chest pain will receive the usual care for their condition.
结局指标
主要结局
Disposition
时间窗: 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.
次要结局
- Follow up instructions(day of enrollment)
研究者
Adrienne Malik
Principal Investigator
University of Kansas Medical Center