Impact of a Decision Aid on Patient Decision Making in Emergency Department Chest Pain Patients

Mayo Clinic

Status: Completed

Conditions: Acute Coronary Syndrome

Treatments: Other: Decision Aid

Study type: Interventional

Funder types: Other

Identifiers

NCT01077037

09-006263

Details and patient eligibility

About

We are doing a study to assess the impact of including patients in making decision regarding their own medical care in the emergency department. We will randomly assign them to either receive a decision aid or usual care. In doing this, we aim to increase patient satisfaction and safely decrease medical cost.

Enrollment: 204 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults with a primary complaint of chest pain.
• Treating clinician's next consideration is observation unit admission for cardiac stress testing.

Exclusion criteria

• Initial cardiac troponin T value >99th percentile (>0.01ng/mL)
• History of coronary artery disease
• coronary revascularization procedure within the previous 30 days
• cocaine use within 72 hours by the clinician's initial history
• pregnancy
• patient cannot read English or have, in their clinician's judgment, major learning barriers, such as visual or hearing impairment or dementia that would compromise their ability to give written informed consent (or use the decision aid)

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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204 participants in 2 patient groups

Decision Aid

Experimental group

Description:

Receives Decision Aid

Treatment:

Other: Decision Aid

Control

No Intervention group

Description:

Patient receives usual care.