Improving the Management of Acute Coronary Syndromes in the Emergency Department (RACE)

Integrated Medical Research LLC

Status and phase: Completed; Phase 4

Conditions: Acute Coronary Syndrome

Treatments: Device: Point of Care testing

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT01563250

IMR-001

Details and patient eligibility

About

By using a Rapid Cardiac Evaluation (RACE) pathway in the Emergency Department (ED), the investigators can effectively reduce ED wait times and ED length of stay by decreasing overall hospital admissions and telemetry admissions. In addition, the investigators hypothesize a decrease in mortality of those patients admitted for cardiac evaluation by increasing the patient to health care provider ratio.

Enrollment: 705 patients

Sex: All

Ages: 35+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Chief complaint of chest pain
• 35 years old or greater

Exclusion criteria

• ST elevation MI
• New Left Bundle Branch Block
• Admission regardless of test result
• Leaving ED against medical advice

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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705 participants in 2 patient groups

Core Laboratory

No Intervention group

Description:

Patients receiving serial routinely available cardiac biomarker testing in a core laboratory setting using Troponin T. (Roche Centaur)

Point of Care

Active Comparator group

Description:

Patients will receive the Point of Care testing intervention using serial cardiac biomarker testing at the bedside including myoglobin, Troponin I and CK-MB. (Triage Cardiac Panel, Alere)

Treatment:

Device: Point of Care testing