Impact of a Decision Aid on Patient Participation in Decision Making and Resource Use in Low Risk Chest Pain Patients: A Randomized Trial

Mayo Clinic1 site in 1 country204 target enrollmentFebruary 2010

ConditionsAcute Coronary Syndrome

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Acute Coronary Syndrome
Sponsor: Mayo Clinic
Enrollment: 204
Locations: 1
Primary Endpoint: Patient knowledge
Status: Completed
Last Updated: 10 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

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.

Registry

clinicaltrials.gov

Start Date

February 2010

End Date

February 2011

Last Updated

10 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Mayo Clinic

Responsible Party

Principal Investigator

Erik P. Hess

Mayo Clinic

Eligibility Criteria

Inclusion Criteria

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

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)

Outcomes

Primary Outcomes

Patient knowledge

Time Frame: Immediately after patient visit

Patient knowledge regarding their short-term risk for an ACS and the risks of radiation exposure.

Secondary Outcomes

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)