No registrations found.
ID
Source
Brief title
Health condition
Any etiology that underlies undifferentiated chest pain
Sponsors and support
Intervention
Outcome measures
Primary outcome
The outcomes of interest are the safety and efficiency of the proposed triage strategies (NTS and/or Marburg) for "urgent diagnosis and/or fatal outcome".
The definition of “urgent diagnosis and/or fatal outcome” is defined as: death from any cause, acute coronary syndrome and/or urgent coronary revascularization, acute thoracic aortic dissection, pulmonary embolism, acute heart failure, peri(myo)carditis, (tension)pneumothorax.
Secondary outcome
The secondary outcome measure will be "major adverse cardiac events", defined as cardiovascular death, acute coronary syndrome, and/or urgent coronary revascularization.
Background summary
An observational study that investigates the efficiency and safety of the Netherlands Triage System for the symptom chest pain using final outcome data. In addition, the study's prospective arm will evaluate the potential role of integrating the Marburg Heart Score as part of triage decision making.
Study objective
The aims of this research proposal are threefold: 1) to evaluate the accuracy of existing telephone scripts for triage purposes used by medical assistants for patients calling with symptoms of chest pain; 2) to evaluate the discriminatory properties (test characteristics) of the Marburg Heart Score; and 3) to assess the improvement in triage accuracy when integrating the Marburg Heart Score with current telephone triage.
Study design
1 Nov 2018 start project; 31 Aug 2020 projected completion date.
Inclusion criteria
Patients who telephone the out-of-office-hours primary care with symptoms of chest pain
Exclusion criteria
Age <18; Declined study participation (opt-out); traumatic chest pain
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7581 |
| Other | METC AMC : W18_035 # 18.053 |