Tele-electrocardiography in Emergency Cardiac Care
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 794
- 试验地点
- 2
- 主要终点
- Hospital Time to Treatment for Patients With Unstable Angina/Non-STEMI
研究概览
简要总结
The purpose of this study is to see whether individuals who access the "911" emergency medical system with a heart attack or severe chest pain will receive more timely hospital treatment and better outcomes if hospital clinicians are provided with earlier and more complete electrocardiography (ECG) information.
详细描述
This is a Phase III study. Patients will be randomized (like tossing a coin) to 1 of 2 groups: Group 1: Patients will have pre-hospital ECG intervention. Group 2: Patients will have routine emergency heart care. Information will be collected about time symptoms started, clinical management, and other measures. All patients will be contacted by telephone 12 months later and interviewed as to whether they experienced any cardiac symptoms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
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
- •All individuals in Santa Cruz County in California who call 911 with symptoms of acute coronary syndrome (chest pain, shortness of breath, anginal equivalent).
排除标准
- •Those who don't meet the above inclusion criteria.
结局指标
主要结局
Hospital Time to Treatment for Patients With Unstable Angina/Non-STEMI
时间窗: Day 1
Time from ED arrival to first drug was determined as recommended by American College of Cardiology/American Heart Association 2007 guidelines for management of patients with unstable angina/non-STEMI
Hospital Time to Treatment for Patients With ST-elevation Myocardial Infarction (STEMI)
时间窗: Day 1
Mean door-to-balloon time
次要结局
- Rehospitalization and Mortality(4 years)