Chest Pain
Conditions
Keywords
Chest Pain
Brief summary
monocentric, prospective registry collection of clinical data of all patients with chest pain in emergency department and follow-up after 30 days
Detailed description
An unselected patient-population with chest pain entering through the emergency department participate in a diagnostic survey where a chest pain algorithm based mainly on risk scores (Grace, TIMI, Heart) verifying the diagnostic forecasting power (sensitivity, specificity, negative and positive predictive value) of biomarkers, risk scores and imaging methods for diagnosing of potential life-threatening disease.
Interventions
CT Thorax (GE Revolution with chest pain algorithm)
Sponsors
Study design
Eligibility
Inclusion criteria
* age \>18 years old chest pain written confirmation of participants or legal representative
Exclusion criteria
* thorax trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic forecast of biomarkers, risk scores and computer tomography | From admission to emergency unit discharge | Diagnostic forecast compared to the initial suspected diagnosis and discharge diagnosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity | During diagnostic procedure | Sensitivity in result of biomarkers, risk scores and imaging methods |
| Specificity | During diagnostic procedure | Specificity in result of biomarkers, risk scores and imaging methods |
| Positive predictive value | During diagnostic procedure | Positive predictive value in result of biomarkers, risk scores and imaging methods |
| Negative predictive value | During diagnostic procedure | Negative predictive value in result of biomarkers, risk scores and imaging methods |
| Major adverse cardiac events (MACE) | From admission to emergency unit until 30 days after or death | outcome is measured by coronary intervention, coronary bypass and death within 30 days |
Countries
Germany