Chest pain. Angina pectoris, unspecified
Conditions
Interventions
Intervention 1: Patients in the "intervention group" is triaged with adding rapid troponin kits to emergency severity index by the researcher. After explanation, a drop of blood with lancet is taken f
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Passed at least three hours from the onset of pain no high risk chest pain criteria (suddenly and more than 20 minutes chest pain in rest, increasing pain of the onset, no response to rest or sublingual pearl, oppressive pain) Stability of the hemodynamic system
Exclusion criteria
Exclusion criteria: No chest pain transfer to other medical center Dissatisfaction with the research history of myocarditis,cardiomyopathy,embolization of the lung, atrial fibrillation,cardiac coronary artery disease or severe infections and kidney disease(in these cases, troponin is false positive) Beginning pain less than three hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Triage level. Timepoint: Immediately after the intervention. Method of measurement: Emergency Severity Index from 1 to 5.;Time to physician visit. Timepoint: Immediately after intervention. Method of measurement: Minutes.;Admission status (final disposition). Timepoint: Up to 6 h after triage. Method of measurement: CCU, Cardiac, Discharge.;The time to final patient appointment. Timepoint: From the time the patient arrived, based on the minute until the final appointment of the patient. Method of measurement: Minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| The time to the first general practitioner visit. Timepoint: From the time the patient enters the triage room until he or she is visited by a general practitioner. Method of measurement: Minutes.;The time to the first visit of a cardiologist. Timepoint: From the time the patient enters the triage room until he or she is visited by a cardiologist. Method of measurement: Minutes. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahshid Motamed Alshariati
Mashhad University of Medical Sciences
Outcome results
None listed