Status:
UNKNOWN
Trial for the Use of Pretest Probability to Reduce Unnecessary Testing for Low-Risk Patients With Chest Pain
Lead Sponsor:
PREtest Consult
Conditions:
Acute Coronary Syndrome
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
The purpose of this study is to evaluate if the implementation of quantitative pretest probability assessment will significantly reduce the unnecessary use of the intra-emergency department chest pain...
Detailed Description
Chest pain represents the second most frequent complaint among the 110 million persons who visit emergency departments in the U.S. each year. Perceived medicolegal risk compels emergency physicians to...
Eligibility Criteria
Inclusion
- Emergency department patients aged \> 17 who report a history of torso or arm discomfort within the past 24 hours.
- Physician orders an electrocardiogram and serum troponin measurement.
- Physician has undergone a 10 minute explanation session and has provided consent
Exclusion
- 12-lead electrocardiogram (ECG) with ST deviation or T-wave changes that are interpreted by clinician as indicative of acute infarction or ischemia
- "Code STEMI" patients (patients with suspected acute myocardial infarction).
- Other primary diagnosis mandating admission (e.g., pneumonia, diabetic ketoacidosis, trauma)
- Patients with myocardial infarction, intracoronary stent placement, or coronary artery bypass grafting within the previous 30 days.
- Evidence of circulatory shock (SBP \[systolic blood pressure\] \< 100 mmHg with symptoms defined by Jones)
- Cocaine use within the past 72 hours.
- A moderate to high-risk composite clinical picture that causes an emergency medicine specialist to consult a cardiologist.
- Homelessness, out-of-town residence or other condition known to preclude follow-up.
- Prisoners and pregnant patients
Key Trial Info
Start Date :
October 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 1 2007
Estimated Enrollment :
400 Patients enrolled
Trial Details
Trial ID
NCT00243516
Start Date
October 1 2005
End Date
October 1 2007
Last Update
November 9 2007
Active Locations (1)
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1
Carolinas Medical Center
Charlotte, North Carolina, United States, 28203