Improving the care of patients with chest pain in the emergency department

Not Applicable

Completed

• Conditions: Diagnosis and prevention of cardiovascular disease in patients presenting with chest pain to the emergency department; Circulatory System

• Registration Number: ISRCTN41008456
• Lead Sponsor: niversity of Manchester

Brief Summary

2022 Protocol article in https://pubmed.ncbi.nlm.nih.gov/35396287/ qualitative (added 11/04/2022) 2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34620253/ quantitative (added 28/02/2024)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-01-07
• Study Completion: 2022-04-01
• Last Update Posted: 11 March 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 45040

Inclusion Criteria

Qualitative arm:
1. Patients who have experienced chest pain, general practitioners, emergency medicine consultants, emergency department nurses

Quantitative arm:
2. This will use historic data of patients with chest pain. It was collected by bespoke clinical data entry systems in real time

Exclusion Criteria

Qualitative arm:
1. The participants can not attend at least one of the semi-structured interviews
2. Not fluent in English language
3. The ambulatory ward patient’s clinical condition has deteriorated or is severe to the extent that participating in the research would (a) interfere in their clinical care, or (b) that participating would be too strenuous. This will be judged by the nursing staff on the ambulatory care unit, and the clinical academics interviewing the patients
4. Unwilling to take part

Quantitative arm:
5. The study uses historic data. The United Kingdom's national opt service, a registry of patients who do not want their data used for research, will be applied to this data

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Qualitative arm:<br>1. Prototype long term cardiovascular risk prediction pathways for the acute care setting, data with be gathered by two waves of semi-structured interviews at baseline and 6 months analysed using thematic analysis<br><br>Quantitative arm:<br>From patient records:<br>1. Acute Myocardial Infarction, as per ICD10 coded diagnosis at up to 30 days since index event<br>2. Cardiovascular Event, as per ICD10 coded diagnosis up to 10 years since index event

Secondary Outcome Measures

Name	Time	Method
There are no secondary outcome measures