Improving the Management of Acute Coronary Syndromes in the Emergency Department

Phase 4

Completed

• Conditions: Acute Coronary Syndrome

• 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

Study Timeline

• Study Start: 2011-06
• Study First Submitted: 2011-06-09
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Study First Submitted QC: 2012-03-23
• Study First Posted: 2012-03-26
• Status Verified: 2013-04
• Last Update Submitted: 2013-04-03
• Last Update Posted: 2013-04-04

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

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