Study on the benefit of the use of protocols in the care of chest pain in emergency physicians of the Cardiology Institute of Santa Catarina
Not Applicable
Completed
- Conditions
- Adherence to the guidelines of the residents in meeting the corporate chest pain and acute coronary syndrome in the emergency room.V02.515.500N04.761.337C14.280.647.124
- Registration Number
- RBR-4mxksj
- Lead Sponsor
- Instituto de Cardiologia de Santa Catarina
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Data analysis completed
- Sex
- Not specified
- Target Recruitment
- Not specified
Inclusion Criteria
All eight residents of Instituto de Cardiologia de Santa Catarina will be included in the study.
Exclusion Criteria
Residents who do not agree to sign the term of consent form (free and clear).
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Combined endpoint (sum of points) will be awarded 1 point for each of the channels with Class I and IIa according to guidelines of the Brazilian Society of Cardiology: History and physical examination described; Classification of pain; Electrocardiogram within 10 minutes; Electrocardiogram repeated in 6 hours if no diagnosis; TIMI risk stratification; Cardiac monitoring; Determination of CK-MB and troponin; Primary angioplasty is infarction with ST elevation to <12 h; Oxigen for intermediate and high risk; Use of aspirin 100 to 200mg; Use of Clopidogrel 300 mg; Use of Isordil or nitroglycerin; Use of morphine if pain; Use of beta-blocker is intermediate or high risk; Use of enoxaparin; Use of statins; Use of ACE inhibitors in the first 24h.
- Secondary Outcome Measures
Name Time Method Average hospital stay of two groups of patients conducted by the two randomized groups of physicians;<br>;Comparison between the rates of in-hospital mortality of patients admitted with clinical suspicion of ACS;<br>;Comparison each of the individual approaches used for the sum in the combined endpoint (primary).