Pre-hospitale risicostratificatie bij patiënten met verdenking op een hartinfarct

Fast Assessment and Management of Chest Pain without ST-elevation in the Pre-hospital Gateway - The implementation phase

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON26459

Enrollment

1090

Registered

2018-02-26

Start date

2018-04-01

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

non-STEMI myocardial infarction hartinfarct myocardial infarction HEART-score paramedics ambulance nurses pre-hospital

Interventions

pre-hospital HEART assessment including POC troponin. Patients with low risk (HEART-score 3 or lower) will be asked for informed consent to be observed at home. A second HEART score will be performed

Eligibility

Inclusion criteria

Inclusion criteria: All out-of-hospital patients visited by an ambulance with a pre-hospital suspicion of non-STEMI ACS at first medical contact Age ≥ 18 years

Exclusion criteria

Exclusion criteria: - Comatose state - Cognitive impairment - Pregnancy - Shock - Cardiac asthma - Sustained ventricular tachyarrhythmia - Electrocardiographic ST-segment elevation - Endstage renal disease - No pre-hospital 12-lead ECG performed or available - An obvious non-cardiac cause for chest complaints (trauma, pneumothorax, pneumonia, etc.) - Strong suspicion of aortic dissection or pulmonary embolism

Design outcomes

Primary

Measure	Time frame
The primary endpoint is the occurrence of MACE within 6 weeks of inclusion. MACE includes: myocardial infarction, PCI, CABG, death by all causes.	—

Secondary

Measure	Time frame
Secondary outcomes are the occurrence of MACE within 6 months of inclusion, the number of patients that are secondarily referred to the hospital for cardiac reasons with a HEART score of ≤3 within 6 months after inclusion, discharge diagnosis of all patient primarily or secondarily referred to the hospital within 6 months after inclusion, health care costs, the number of inter-hospital transfers between PCI and non-PCI centres, length of hospital stay, performed diagnostics, cause of death, differences in patient characteristics between the low, intermediate and high risk groups, quality of life.	—

Measure

Time frame

Secondary outcomes are the occurrence of MACE within 6 months of inclusion, the number of patients that are secondarily referred to the hospital for cardiac reasons with a HEART score of ≤3 within 6 months after inclusion, discharge diagnosis of all patient primarily or secondarily referred to the hospital within 6 months after inclusion, health care costs, the number of inter-hospital transfers between PCI and non-PCI centres, length of hospital stay, performed diagnostics, cause of death, differences in patient characteristics between the low, intermediate and high risk groups, quality of life.

—

Contacts

Public ContactJ.P. Ottervanger

Isala klinieken, "De Weezenlanden", Department of Cardiology, Groot Wezenland 20

+31 (0)38 4242374 / +31 (0)38 4242000

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)