Acute cardiovascular disease, acute coronary syndrome, transient ischemic attack, stroke. Acute hart- en vaatziekten, acuut coronair syndroom, beroerte.
Conditions
Interventions
N.A.
Sponsors
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands.
Eligibility
Inclusion criteria
Inclusion criteria: (I) Recordings of triage conversations of patients with chest discomfort suspected of having an ACS (II) Recordings of triage conversations of patients with neurological symptoms suspected of having a TIA or stroke
Exclusion criteria
Exclusion criteria: (I) No triage conversation (recordings of conversations between colleagues or about medication questions) (II) Recordings of poor quality (III) Patients younger than 18 years (IV) Patients that don’t live in the vicinity of Utrecht (V) Patients’ whose GP refuses to cooperate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The diagnostic accuracy of the NTS will be analyzed in terms of sensitivity, specificity, positive and negative predictive values of the urgency allocation (high; U1-U2, and low; U3-U5) on the outcomes ACS, and TIA/stroke. | — |
Secondary
| Measure | Time frame |
|---|---|
| In addition, a) sensitivity analyses with inclusion of other emergency cases that can result in chest discomfort such as pulmonary embolism, acute heart failure, and thoracic aortic dissection, and other emergency cases that can result in neurological symptoms such as subarachnoid hemorrhage (SAH) and epilepsy, and b) pre-specified subgroup analyses for gender and age will be performed. | — |
Contacts
Public ContactD.C.A. Erkelens
University Medical Center Utrecht, Julius Center for Health Sciences and Primary Care, HP STR 6.131
Outcome results
None listed