Improving the Management of Acute Coronary Syndromes in the Emergency Department
Phase 4
Completed
- Conditions
- Acute Coronary Syndrome
- Interventions
- Device: Point of Care testing
- Registration Number
- NCT01563250
- Lead Sponsor
- Integrated Medical Research LLC
- Brief Summary
By using a Rapid Cardiac Evaluation (RACE) pathway in the Emergency Department (ED), the investigators can effectively reduce ED wait times and ED length of stay by decreasing overall hospital admissions and telemetry admissions. In addition, the investigators hypothesize a decrease in mortality of those patients admitted for cardiac evaluation by increasing the patient to health care provider ratio.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 705
Inclusion Criteria
- Chief complaint of chest pain
- 35 years old or greater
Exclusion Criteria
- ST elevation MI
- New Left Bundle Branch Block
- Admission regardless of test result
- Leaving ED against medical advice
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Point of Care Point of Care testing Patients will receive the Point of Care testing intervention using serial cardiac biomarker testing at the bedside including myoglobin, Troponin I and CK-MB. (Triage Cardiac Panel, Alere)
- Primary Outcome Measures
Name Time Method ED length of stay Average of 3 hours stay in the Emergency Department From patient check-in time to patient admit or discharge time
- Secondary Outcome Measures
Name Time Method Mortality rate of admitted patients During hospital admission and at 30 days Average hospital stay 3 days.
Hospital Admission Rate Baseline Observing the rate at which physicians admit patients to the hospital.
Trial Locations
- Locations (1)
New York Methodist Hospital
🇺🇸Brooklyn, New York, United States