Telemedical vs. Conventional Prehospital Care in Acute Coronary Syndromes

Quality Outcomes in Acute Coronary Syndromes Between Telemedically Supported Paramedics and Conventional On-scene Physician Care

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03132935

Enrollment

221

Registered

2017-04-28

Start date

2014-01-01

Completion date

2015-07-31

Last updated

2017-04-28

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

Conditions

Acute Coronary Syndrome

Keywords

Non-STEMI Acute Coronary Syndrome, ST-segment elevation myocardial infarction, Telemedicine

Brief summary

Detailed description

Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups. All data was collected prospectively for quality management purposes and analyzed retrospectively after ethical approval by the local ethics committee.

Interventions

PROCEDURETelemedical support

Telemedical support by a physician in a telemedicine centre

Study design

Observational model

OTHER

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

symptoms of acute coronary syndrome -

Exclusion criteria

secondary transfers from hospital to hospital, traumatic chest pain \-

Design outcomes

Primary

Measure	Time frame	Description
Adverse events	prehospital phase (0.5-2 hours)	respiratory / circulatory insufficiency, allergic reaction, cardiac arrest

Secondary

Measure	Time frame	Description
Correct use of unfractionated Heparin (UFH)	prehospital phase (0.5-2 hours)	Correct use of UFH based on current guidelines
Correct use of Morphine	prehospital phase (0.5-2 hours)	Correct use of Morphine based on current guidelines
Use of 12-lead-ECG	prehospital phase (0.5-2 hours)	Use of 12-lead-ECG after first medical contact
Correct use of Aspirin	prehospital phase (0.5-2 hours)	Correct use of Aspirin based on current guidelines
Correct use of oxygen	prehospital phase (0.5-2 hours)	Correct use of Morphine based on current guidelines
Correct use of Glyceroltrinitrate	prehospital phase (0.5-2 hours)	Correct use of Glyceroltrinitrate based on current guidelines
Correct transport destination	prehospital phase (0.5-2 hours)	hospital with cath lab in ST-segment elevation myocardial infarction or high-risk Non-STEMI-ACS

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026