No registrations found.
ID
Source
Brief title
Health condition
pijn op de borst klachten
ACS
Chest pain
ACS
Sponsors and support
Ambulancezorg Rotterdam-Rijnmond AZRR
Breslau 2
2993 LT Barendrecht
E-mail: nvanderwaarden@azrr.nl
Intervention
Outcome measures
Primary outcome
Mace after 30 days, 3 months and 1 year
Mace is defined as acute myocardial infraction, CAG, PCI, CABG or death
Secondary outcome
feasibility of HEART-score use in prehospital phase
Background summary
It seems obvious that a significant part of all ambulances deployments which presents themselves as thoracic complaints may be of a cardiologic nature. Due to the limited prehospital diagnostic possibilities of these category patients (who present themselves with thoracic pain associated with acute coronary syndrome (ACS), it is not possible to confirm or exclude an ACS in this first phase. The result is that this patients can be transported to a hospital which is not able to provide the optimal care (non intervention versus intervention center).
The prehospital confirmation or exclusion of an ACS can positively contribute to decisionmaking and the quality of care. Based on risk stratification using the HEART score, the ambulancenurse can determine the risk profile of the patient and rule out or diagnose of ACS. The HEART score consists of five components, History, EKG, Age, Risk Factors and Troponin. Each part is scored and a total score is generated. The HEART score is a validated risk assessment instrument. Determining a troponin is an important part of the standard care for patients with ACS symptoms.
With the implementation of the prehospital HEART score, the Troponin is done in the ambulance or at the patients home. This is expected not only to improve patient safety, but can also have a positive impact on costs and workload.
For this study only feasibility en reliability of the use of HEARTscore is tested in de prehospital phase. one blood sample is taking for troponin, but is blinded on de point of care testing voor de nurses. The treatment is usual care conform LPA 8.1. The blood sample for troponin goes to the laboratorium from the hospital for usual troponin assessment.
Feasibility and reliability of prehospital triage in patients with thoracic complaints/pain appropriate to a suspicious ACS in The Netherlands
Study objective
Feasibility and reliability of prehospital triage in patients with thoracic complaints/pain appropriate to a suspicious ACS
Study design
in prehospital phase HEART-score
Arrival hospital HEART score
Intervention
blood sample (Troponin) earlier in the proces
N.W.P.L. van der Waarden
Breslau 2
Barendrecht 2993 LT
The Netherlands
nvanderwaarden@azrr.nl
N.W.P.L. van der Waarden
Breslau 2
Barendrecht 2993 LT
The Netherlands
nvanderwaarden@azrr.nl
Inclusion criteria
All patients over the age of 18 who, after assessment of the ambulance nurse, need to be transported to the hospital with complaints appropriate to a suspicious ACS
- older than 18 years
- legally capable to give consent
-thoracic pain or complaints appropriate to a suspicious ACS
-Understand the Dutch language sufficiently
-signed informed consent
- transported to Maasstad or Ikazia hospital
Exclusion criteria
-legally incapable to give consent or comatose
- incapable to understand the dutch language
- STEMI on EKG
- Missing EKG
- Clear other cause of thoracic pain/complaints (pneumonia, aorta dissection, trauma, pneumothorax etc.)
- impossibility iv venflon
Design
Recruitment
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 | NL6429 |
| NTR-old | NTR6606 |
| CCMO | NL62976.101.17 |