Low-Risk Chest Pain Echo Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-05

Study Completion Date

2023-11-30

Brief Summary

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Pilot study to assess if a bedside point-of-care echocardiogram performed on emergency department patients identified as low-risk chest pain prior to discharge significantly changes patient disposition or follow up instructions.

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Detailed Description

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Conditions

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Chest Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Echo Arm

Chest pain patients identified by their treating physician as being low-risk chest pain will undergo a point-of-care echocardiogram performed by a trained emergency medicine attending or resident prior to discharge from the emergency department. The physician of record will review this ultrasound and it will be documented whether the findings on the ultrasound changed the physician of record's disposition decision for the patient or the follow up instructions or medications.

Group Type EXPERIMENTAL

Point-of-Care Echocardiogram

Intervention Type DIAGNOSTIC_TEST

Four view ultrasound of the heart performed at the bedside by trained emergency medicine physicians.

Usual Care

Chest pain patients identified by their treating physician as being low-risk chest pain will receive the usual care for their condition.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Point-of-Care Echocardiogram

Four view ultrasound of the heart performed at the bedside by trained emergency medicine physicians.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adults presenting to the emergency department with an isolated chief complaint of chest pain with a HEART score of 3 or less
* Emergency physician of record has decided to discharge this patient from the Emergency Department

Exclusion Criteria

* Patients who are unable to consent for themselves
* History of cardiac transplant or LVAD
* Pediatric patients
* Patients presenting with multiple complaints in addition to chest pain
* Echocardiogram already performed on patient during usual care
* Patients with another non-cardiac admittable diagnosis
* HEART score greater than or equal to 4

Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes