Risk stratifying patients in the pre-hospital phase(ambulance or GP) by using the validated HEART score
ID
Bron
Verkorte titel
Aandoening
Patients with a suspicion of myocardial ischemia /necrosis
Ondersteuning
Hein Hogerzeil Stichting
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
•Percentage of patients with or without infarct diagnosis in the different HEART score categories (0-3, 4-6, >6)
Achtergrond van het onderzoek
A prospective observational trial to assess the value of the HEART score in the pre-hospital phase (ambulance) in patients with a clinical suspicion of acute myocardial infarction. The trial is performed in close collaboration with ambulance paramedics. In the area of Zwolle, Deventer and Amersfoort, Ruling-Out low risk patients will be of most interest. In the area of Utrecht, the Rule-In part of the study has started to identify patients at high risk of having acute myocardial infarction. These results will be combined to assess the best cut-off value for triaging patients with a clinical suspicion of cardiac ischemia . A detailed description of the overall FAMOUS TRIAGE project will be ready the beginning of 2014.
Doel van het onderzoek
Risk stratifying patients in the pre-hospital phase(ambulance or GP) by using the validated HEART score
Onderzoeksopzet
•Discharge from ER/Hospital
•30 day FUP
Onderzoeksproduct en/of interventie
Pre-hospital venous blood sampling and assessment of the modified HEART score.
Publiek
Groot Wezenland 20
A.W.J. Hof, van 't
Groot Wezenland 20
Zwolle 8011 JW
The Netherlands
+31 (0)38 4242374
hof@diagram-zwolle.nl
Wetenschappelijk
Groot Wezenland 20
A.W.J. Hof, van 't
Groot Wezenland 20
Zwolle 8011 JW
The Netherlands
+31 (0)38 4242374
hof@diagram-zwolle.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
•All out-of-hospital patients visited by an ambulance and a pre-hospital clinical suspicion of
acute myocardial infarction
•Transfer to a hospital
•Age ≥ 18 years
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
•Comatose state
•Cognitive impairment
•Pregnancy
•(Cardiogenic) shock
•Cardiac asthma
•Sustained ventricular tachyarrhythmia
•End stage renal disease (dialysis patients)
•No pre-hospital 12-lead ECG performed or available
•ST-segment elevation
•An obvious non-cardiac cause for the chest complaints, e.g. trauma, pneumothorax,
pneumonia, etc.
•Strong Suspicion of aortic dissection or pulmonary embolism
•New onset left branch bundle block (LBBB)
•Confirmed AMI <10 days prior to inclusion
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4039 |
| NTR-old | NTR4205 |
| Ander register | RAV IJsselvecht : Isala Zwolle |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |