Streamlining follow up of intermediate risk chest pain presentations: Does pre-organised early stress testing improve compliance to guidelines and 30-day outcomes?

In patients discharged from the emergency department with intermediate risk acute coronary syndrome, does pre-organised appointments for early stress testing improve compliance with current guidelines and 30 day outcomes compared with patients who were asked to organise their own appointments.

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12611000470998

Acronym

Nil

Enrollment

120

Registered

2011-05-06

Start date

2011-05-05

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Patients with chest pain presenting to the emergency department are stratified according to likelihood that the pain is due to a heart attack. “Intermediate risk” chest pain may be cardiac in origin but is not due to a heart attack, and requires further follow up. According to current Australian guidelines, these patients should be referred for an exercise stress test within 72 hrs to further clarify their risk. Currently only 30% of patients with intermediate risk chest pain present for their stress test within 72 hours even if stress testing services are readily available on site. We are investigating whether a fixed appointment time given to the patient before they leave the ED results in an improved follow up rate and improved 1 month outcome.

Interventions

Evaluating the rate of attendance for follow up exercise stress testing in patients who were given pre-organised appointment times. Evaluating the representation rate with cardiac related chest pain, adverse cardiac events, coronary intervention procedures and mortality over 30 days following their discharge.

Eligibility

Sex/Gender

All

Age

18 Years to 75 Years

Healthy volunteers

Inclusion criteria

>18 yo and informed consent obtained, discharged from emergency department with intermediate risk acute coronary syndrome, suitable for exercise threadmill stress testing, able to follow up patient via telephone at 30 days.

Exclusion criteria

Pregnancy, contraindications to stress testing, <18 yo or >75 yo, cognitively impaired, inability to consent, inability to follow up patient (overseas visitor or no telephone access)

Outcome results