Trial Outcomes & Findings for Comprehensive Cardiothoracic Dual Source CT for the Early Triage of Patients With Acute Chest Pain (NCT NCT01067456)

NCT ID: NCT01067456

Last Updated: 2017-12-22

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

59 participants

Primary outcome timeframe

Index Hospitalization (within 48 hours)

Results posted on

2017-12-22

Participant Flow

Emergency Department, 9-month enrollment period starting January 2008

Participant milestones

Participant milestones
Measure
Dedicated CT Arm
Subjects in this arm will continue to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
Subjects in this arm receive a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan.
Overall Study
STARTED
30
29
Overall Study
COMPLETED
30
29
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comprehensive Cardiothoracic Dual Source CT for the Early Triage of Patients With Acute Chest Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dedicated CT Arm
n=30 Participants
Subjects in this arm will continue to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
n=29 Participants
Subjects in this arm receive a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan. Comprehensive Cardiothoracic Dual Source CT (DSCT) arm: Subjects in this arm will receive the comprehensive cardiothoracic DSCT to rule out aortic dissection/pulmonary embolism/acute coronary syndrome in a single scan.
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
50 years
STANDARD_DEVIATION 12 • n=5 Participants
53 years
STANDARD_DEVIATION 11 • n=7 Participants
51 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
23 Participants
n=7 Participants
43 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants
29 participants
n=7 Participants
59 participants
n=5 Participants

PRIMARY outcome

Timeframe: Index Hospitalization (within 48 hours)

Outcome measures

Outcome measures
Measure
Dedicated CT Arm
n=30 Participants
Subjects in this arm will continue to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
n=29 Participants
Subjects in this arm receive a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan. Comprehensive Cardiothoracic DSCT arm: Subjects in this arm will receive the comprehensive cardiothoracic DSCT to rule out aortic dissection/pulmonary embolism/acute coronary syndrome in a single scan.
Length of Hospital Stay
7.63 Hours
Interval 5.38 to 28.23
8.20 Hours
Interval 5.32 to 30.08

SECONDARY outcome

Timeframe: Index Hospitalization (within 48 hours)

Number of patients discharged without imaging

Outcome measures

Outcome measures
Measure
Dedicated CT Arm
n=30 Participants
Subjects in this arm will continue to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
n=29 Participants
Subjects in this arm receive a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan. Comprehensive Cardiothoracic DSCT arm: Subjects in this arm will receive the comprehensive cardiothoracic DSCT to rule out aortic dissection/pulmonary embolism/acute coronary syndrome in a single scan.
Direct Hospital Discharge Without Imaging
21 Participants
20 Participants

SECONDARY outcome

Timeframe: Index Hospitalization (within 48 hours)

Cost of stay in USD

Outcome measures

Outcome measures
Measure
Dedicated CT Arm
n=30 Participants
Subjects in this arm will continue to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
n=29 Participants
Subjects in this arm receive a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan. Comprehensive Cardiothoracic DSCT arm: Subjects in this arm will receive the comprehensive cardiothoracic DSCT to rule out aortic dissection/pulmonary embolism/acute coronary syndrome in a single scan.
Cost of Care
1724 cost in USD
Interval 1277.0 to 4208.0
1898 cost in USD
Interval 1554.0 to 5116.0

Adverse Events

Dedicated CT Arm

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Comprehensive Cardiothoracic CT Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dedicated CT Arm
n=30 participants at risk
Subjects in this arm continued to receive standard of care - that is the dedicated CT protocol to rule out either aortic dissection or acute coronary syndrome or pulmonary embolism.
Comprehensive Cardiothoracic CT Arm
n=29 participants at risk
Subjects in this arm received a comprehensive cardiothoracic CT to evaluate the presence of acute coronary syndrome/aortic dissection/pulmonary embolism in a single scan.
Cardiac disorders
Myocardial Infarction
3.3%
1/30
0.00%
0/29

Other adverse events

Adverse event data not reported

Additional Information

Dr. Udo Hoffmann

MGH

Phone: 617-726-1255

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place