ID
Bron
Aandoening
Acute coronary syndrome
Cardiology
Prediction rule
Acuut coronair syndroom
Angina pectoris
Cardiologie
Beslisregel
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
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
Onderzoeksopzet
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.
Onderzoeksproduct en/of interventie
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.
Publiek
P.O. Box 616
Jochen Cals
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882441
j.cals@hag.unimaas.nl
Wetenschappelijk
P.O. Box 616
Jochen Cals
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882441
j.cals@hag.unimaas.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Patients in whom the GP suspects an acute coronary syndrome (instable angina or myocardial infarction) and who the GP urgently refers to the cardiologist
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Patients unable to understand the Dutch language (to give consent to register their symptoms)
Opzet
Deelname
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 | NL6607 |
| NTR-old | NTR6789 |
| Ander register | 17N119 : METC |
Samenvatting resultaten
https://www.henw.org/archief/id13125-nieuw-flashmobonderzoek-huisarts-hart-week.html