Chest Pain
Conditions
Brief summary
Pilot study to assess if a bedside point-of-care echocardiogram performed on emergency department patients identified as low-risk chest pain prior to discharge significantly changes patient disposition or follow up instructions.
Interventions
DIAGNOSTIC_TESTPoint-of-Care Echocardiogram
Four view ultrasound of the heart performed at the bedside by trained emergency medicine physicians.
Sponsors
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Adults presenting to the emergency department with an isolated chief complaint of chest pain with a HEART score of 3 or less * Emergency physician of record has decided to discharge this patient from the Emergency Department
Exclusion criteria
* Patients who are unable to consent for themselves * History of cardiac transplant or LVAD * Pediatric patients * Patients presenting with multiple complaints in addition to chest pain * Echocardiogram already performed on patient during usual care * Patients with another non-cardiac admittable diagnosis * HEART score greater than or equal to 4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disposition | Day of enrollment | Will assess if the result of the point-of-care echocardiogram resulted in the physician of record changing subject disposition from discharge to admission. We will assess this by asking the physician of record what the disposition plan is for the patient and recording their answer on IRB approved data collection sheet. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Follow up instructions | day of enrollment | Will assess if the result of the point-of-care echocardiogram changed the follow up instructions or discharge medication decision for the enrolled subject as determined by the physician of record by asking them if the echo results caused them to add any additional discharge instructions for the patient. We will record their answer on the IRB approved data collection sheet. |
Contacts
Primary ContactAdrienne Malik, MD
Backup ContactLucas Lemar
Outcome results
None listed