Impact of a Decision Aid on Patient Decision Making in Emergency Department Chest Pain Patients

Not Applicable

Completed

• Conditions: Acute Coronary Syndrome
• Interventions: Other: Decision Aid

• Registration Number: NCT01077037
• Lead Sponsor: Mayo Clinic

Brief Summary

We are doing a study to assess the impact of including patients in making decision regarding their own medical care in the emergency department. We will randomly assign them to either receive a decision aid or usual care. In doing this, we aim to increase patient satisfaction and safely decrease medical cost.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-02
• Study First Submitted: 2010-02-24
• Study First Submitted QC: 2010-02-25
• Study First Posted: 2010-02-26
• Primary Completion: 2011-02
• Study Completion: 2011-02
• Status Verified: 2015-05
• Last Update Submitted: 2015-05-05
• Last Update Posted: 2015-05-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 204

Inclusion Criteria

• Adults with a primary complaint of chest pain.
• Treating clinician's next consideration is observation unit admission for cardiac stress testing.

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Exclusion Criteria

• Initial cardiac troponin T value >99th percentile (>0.01ng/mL)
• History of coronary artery disease
• coronary revascularization procedure within the previous 30 days
• cocaine use within 72 hours by the clinician's initial history
• pregnancy
• patient cannot read English or have, in their clinician's judgment, major learning barriers, such as visual or hearing impairment or dementia that would compromise their ability to give written informed consent (or use the decision aid)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Decision Aid	Decision Aid	Receives Decision Aid

Primary Outcome Measures

Name	Time	Method
Patient knowledge	Immediately after patient visit	Patient knowledge regarding their short-term risk for an ACS and the risks of radiation exposure.

Secondary Outcome Measures

Name	Time	Method
Satisfaction with decision aid	Immediately after patient visit	Patient and clinician acceptability and satisfaction with the decision aid
Quality of decision making process	Immediately after patient visit	Quality of the decision making process for the patient and clinician
Proportion of patients who decided to undergo observation unit admission and urgent cardiac stress testing	During the initial ED visit	Proportion of patients who decided to undergo observation unit admission and urgent cardiac stress testing
Delayed or missed ACS	30 days	Rate of delayed or missed ACS
Economic costs and healthcare utilization	30 days	Economic costs and healthcare utilization

Trial Locations

Locations (1)

Mayo Clinic Rochester; 🇺🇸 Rochester, Minnesota, United States