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临床试验/NCT07640334
NCT07640334尚未招募不适用

The Combination of Aortic Dissection Detection Risk Score With D-dimer to Rule-Out Acute Aortic Syndrome: Multicentre Prospective Study in Emergency Departments

Chinese University of Hong Kong2 个研究点 分布在 1 个国家目标入组 746 人开始时间: 2026年7月13日最近更新:

试验速览

阶段
不适用
状态
尚未招募
入组人数
746
试验地点
2

研究概览

简要总结

The goal of this study is to evaluate the safety of integrating the Aortic Dissection Detection Risk Score (ADD-RS) and D-dimer testing for ruling out acute aortic syndrome (AAS) in the emergency department (ED). The main question it aims to answer: Can the combination of the ADD-RS <2, and D dimer <500ng/mL rule-out AAS in ED patients without CTA? The researchers will recruit patients suspected with AAS in the ED, and the patients will receive a ADD-RS score, a D-dimer testing after signing a written consent.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult patients aged ≥ 18 years; AND
  • Presentation to the ED with any of the following symptoms: acute onset (<14 days) chest pain, abdominal pain, back pain, syncope, or signs of malperfusion (e.g. limb ischemia, neurological deficit); AND
  • AAS is considered as a possible differential diagnosis by the treating physician. Enrolment in the study will be determined by the attending physician during initial medical consultation in the ED and prior to establishing a final diagnosis.

排除标准

  • An alternative diagnosis to AAS established by the treating physician after the initial assessment; OR
  • Trauma cases; OR
  • Patients with a known diagnosis of AAS before the index ED visit (e.g. with a diagnostic imaging done before the ED visit or referral from other institutions for AAS); OR
  • Clinical severity or other conditions not allowing complete evaluation/proper enrolment; OR
  • Patient who refuse to participate.

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Colin Graham

Professor

Chinese University of Hong Kong

研究点 (2)

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