Ischaemic heart diseases Circulatory System
Conditions
Interventions
This study is a prospective multi-centre observational study that will be conducted across a ten-week period starting in March 2023. Patients will be actively recruited over a period of 7 days chosen
Sponsors
North Bristol NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All adult patients (> = 18 years of age) presenting to the ED with chest pain who trigger testing to rule-in or rule-out a cardiac cause
Exclusion criteria
Exclusion criteria: 1. Patients with another medical condition requiring hospital admission 2. Clear non-ACS cause at presentation 3. Prisoner presenting to ED 4. Non-English speakers where translation is unable to be offered
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Index acute myocardial infarction rate measured using coded diagnosis and assessment of troponin results and ECG changes at discharge from hospital 2. Length of stay in the emergency department +/- observation ward measured in minutes at presentation/baseline 3. ACS risk stratification strategy used, and patient risk category measured using the risk category as per stratification tool used at each site eg. very low/low/moderate/high at presentation/baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to be seen by the treating clinician measured in minutes at presentation/baseline 2. Emergency department disposition measured at the discharge destination at discharge from the emergency department 3. Discharge diagnosis measured using coded discharge diagnosis at discharge from hospital | — |
Countries
England, United Kingdom
Contacts
Public ContactFraser Birse
Outcome results
None listed