NCT01077037已完成不适用
Impact of a Decision Aid on Patient Participation in Decision Making and Resource Use in Low Risk Chest Pain Patients: A Randomized Trial
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 204
- 试验地点
- 2
- 主要终点
- Patient knowledge
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults with a primary complaint of chest pain.
- •Treating clinician's next consideration is observation unit admission for cardiac stress testing.
排除标准
- •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)
结局指标
主要结局
Patient knowledge
时间窗: Immediately after patient visit
Patient knowledge regarding their short-term risk for an ACS and the risks of radiation exposure.
次要结局
- Quality of decision making process(Immediately after patient visit)
- Satisfaction with decision aid(Immediately after patient visit)
- Proportion of patients who decided to undergo observation unit admission and urgent cardiac stress testing(During the initial ED visit)
- Delayed or missed ACS(30 days)
- Economic costs and healthcare utilization(30 days)
研究者
研究点 (2)
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