No registrations found.
ID
Source
Health condition
Acute coronary syndrome
Cardiology
Prediction rule
Acuut coronair syndroom
Angina pectoris
Cardiologie
Beslisregel
Sponsors and support
Intervention
Outcome measures
Primary outcome
The number of referred patients with the final diagnosis acute coronary syndrome (defined as instable angina or acute myocardial infarction) on the total of referred patients. We will use a logistic regression model in which we will determine the best independent variables as predictors for the dependent variable of ACS. diagnosis
Secondary outcome
Final diagnosis will be obtained by asking the GP using only 2 questions, one asking the final diagnosis (ACS, other cardiac diagnosis, other) and one asking about (possible) mortality (and underlying diagnosis).
Study design
This is a flashmob prospective study of only one week. All Dutch GPs can register patients. Recruitment will only last 7 days, 24 hours a day. Patients can be registered during normal practice hours and during out-of-hours shifts.
Intervention
No intervention. GPs are asked to register a small set of variables for each patient they refer to the cardiologist with the suspicion of ACS:
- Age
- Gender
- Duration of symptoms
- Attending GP suspected a serious diagnosis
- history of coronary artery disease
- pain brought on by exertion
- pain feels like "pressure"
- pain reproducible by palpation
- the patient suspects a cardial origin of symptoms
- ischaemic sign on ECG
- the probability of ACS in this patient as estimated by the attending GP on a scale of 1-10.
Items are based on the Marburg Heart Score and promising items as shown in Aerts et al. 2017 Journal of Clinical Epidemiology.
P.O. Box 616
Jochen Cals
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882441
j.cals@hag.unimaas.nl
P.O. Box 616
Jochen Cals
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882441
j.cals@hag.unimaas.nl
Inclusion criteria
Patients in whom the GP suspects an acute coronary syndrome (instable angina or myocardial infarction) and who the GP urgently refers to the cardiologist
Exclusion criteria
Patients unable to understand the Dutch language (to give consent to register their symptoms)
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 | NL6607 |
| NTR-old | NTR6789 |
| Other | 17N119 : METC |
Summary results
https://www.henw.org/archief/id13125-nieuw-flashmobonderzoek-huisarts-hart-week.html