A prospective cohort study to improve the AccUracy of Referrals to the emerGency departmEnt of patieNts with chesT pain: to decrease the delay in acute coronary syndrome patients and rule out non-cardiac chest pain patients (URGENT)

A prospective cohort study to improve the AccUracy of Referrals to the emerGency departmEnt of patieNts with chesT pain: to decrease the delay in acute coronary syndrome patients and rule out non-cardiac chest pain patients (URGENT) - Improving the accuracy of referrals of patients with chest pain

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON45470

Enrollment

500

Registered

2017-02-28

Start date

2017-04-18

Completion date

Unknown

Last updated

2024-04-15

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

Conditions

acute coronary syndrome hartattack

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: All patients with chest pain or other complaints suspect of acute coronary syndrome can be included in which the GP at the GP cooperation is in need of further diagnostics to come to a decision.

Exclusion criteria

Exclusion criteria: Patients younger than 18 years. Patients in which a typical history and/or physical examination requires immediate referral; high suspicion of acute coronary syndrome. Patients in which an acute non-coronary diagnosis is suspected, e.g. pulmonary embolism, thoracic aortic dissection etc.

Design outcomes

Primary

Measure	Time frame
The main study point is a more accurate referral of patients with suspected ACS to the cardiac ED and thus the concordance of suspected ACS and the actual diagnosis. The prompt referral of ACS patients will also be assessed through evaluation of the delays in these patients. Both of these endpoints will be compared to the baseline registry that has been executed from 1st of September 2015 until 1st of March 2016.	—

Measure

Time frame

The main study point is a more accurate referral of patients with suspected ACS to the cardiac ED and thus the concordance of suspected ACS and the actual diagnosis. The prompt referral of ACS patients will also be assessed through evaluation of the delays in these patients. Both of these endpoints will be compared to the baseline registry that has been executed from 1st of September 2015 until 1st of March 2016.

—

Secondary

Measure	Time frame
The secondary study endpoint is MACE at 1 year follow-up. This is a combined endpoint of: 1. Mortality 2. Any ischemic cardiac event a. ST-elevated myocardial infarction b. Non ST-elevated myocardial infarction c. (Unstable) angina pectoris d. Percutaneous coronary intervention e. Coronary artery bypass graft surgery (CABG) f. Resuscitation	—

Countries

Netherlands

Outcome results