Cardiovascular diseases: Heart disease Circulatory System Heart disease
Conditions
Interventions
1. Chest pain observation unit
2. Standard care
Sponsors
NHS R&D Regional Programme Register - Department of Health (UK)
Eligibility
Inclusion criteria
Inclusion criteria: 900 patients attending accident and emergency with a primary complaint of chest pain between 7.00am and 7.00pm.
Exclusion criteria
Exclusion criteria: 1. Electrocardiogram (ECG) abnormality 2. Unstable angina 3. Co-morbidity 4. Less than 25 years 5. Unable to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of cases of myocardial infarction (MI) inappropriately sent home by 72 hours after attendance. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of life, health and patients satisfaction at one month 2. Hospital reattendance rates and adverse cardiac event rates at one year and hospital resource usage over one year 3. Quality of life questionnaire (36-item short form health survey [SF-36]) anxiety/depression scales (Hospital anxiety and depression scale [HADS]) and health utility scale (EQ-5D) | — |
Countries
United Kingdom
Outcome results
None listed