Effectiveness of peer-centered care on vulnerable patients with acute coronary syndrome

Not Applicable

Conditions: Patients with coronary syndrome.
Acute heart disease, unspecified cyanotic heart disease
I24.9

Registration Number: IRCT20150919024080N23

Lead Sponsor: Khoram-Abad University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 264

Inclusion Criteria

Patients with or suspected of ACS except (STEMI)
Having at least two of the characteristics of inequality, such as old age, female gender, living in rural areas or underprivileged on the outskirts of the city, low education (primary or middle school) or illiteracy, and drug addiction.
Having satisfaction and willingness to cooperate in the study
Absence of known mental disorder such as manic and anxiety
18 years or older
No history of chest trauma
Having pain or tightness in the chest (typical and atypical symptoms of ACS)
Hospitalization in the emergency room for at least 2 hours
Familiarity and complete understanding of the Persian language
No more than 12 hours have passed from the initial onset of chest pain to visiting the emergency room
Absence of pregnancy and absence of acute infectious disease
Absence of previous MI

Exclusion Criteria

Death of a patient in the emergency room or being sent to another treatment center
Leaving the emergency room against the doctor's advice
Participating in similar and simultaneous interventions such as improving the quality of triage
Extensive cardiac injury requiring emergency surgery
Unstable hemodynamic conditions such as the need for resuscitation Cardio-pulmonary upon entering the emergency room
Direct transfer from the emergency room to the CCU or lab coat

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Clinical outcome of patients with acute coronary syndrome. Timepoint: The beginning of the patient's hospitalization until discharge. Method of measurement: Guidelines for satisfaction with pain management, pain threat scale, disease perception scale, major cardiac event rate registration form, access to care, rate of cardiac interventions, waiting times and length of stay in the emergency room.

Secondary Outcome Measures

Name	Time	Method
Satisfaction with pain management, rate of major cardiac events, access to care, rate of cardiac interventions, waiting times and length of stay in the emergency room. Timepoint: From the time of cooking to the discharge of the patient from the emergency room. Method of measurement: Questionnaire on pain management, pain damage, disease perception form, recording of the rate of major cardiac events, access to care, rate of disease interventions, waiting times and length of stay in Orja.