Patients with coronary syndrome. Acute heart disease, unspecified cyanotic heart disease
Conditions
Interventions
Intervention 1: Intervention group: The intervention group includes improving the triage process and the patient navigation program. Due to the need to attract the cooperation and familiarization of t
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMehdi Moradi nia
Khoram-Abad University of Medical Sciences
Outcome results
None listed