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Effectiveness and Safety of a Clinical Assessment and 0h/1h Troponin Rule-Out Protocol (ESC-TROP)
Chest pain is a common presenting complaint at the Emergency Department (ED). Many of these patients undergo lengthy assessments in the ED or are admitted which contributes to ED and hospital crowding as well as a substantial health care burden. The now commonly used high-sensitivity cardiac troponin assays enable faster rule-out of acute myocardial infarction (AMI). The European Society of Cardiology (ESC) recommend the use of a 0h/1h high-sensitivity cardiac troponin T (hs-cTnT) protocol, but all studies so far have been observational. The safety and effectiveness of the protocol when implemented in routine care is thus unknown. The aim of this study is to determine the safety and effectiveness of the ESC 0h/1h hs-cTnT protocol, supplemented with clinical assessment and ECG, when implemented in routine care.
Details
| Lead sponsor | Ulf Ekelund |
|---|---|
| Status | COMPLETED |
| Enrolment | 16000 |
| Start date | Thu Feb 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) |
| Completion | Sun Dec 30 2018 00:00:00 GMT+0000 (Coordinated Universal Time) |
Conditions
- Chest Pain
- Acute Coronary Syndrome
- Myocardial Infarction
- Unstable Angina
Interventions
- 0h/1h hs-cTnT protocol
Countries
Sweden