The Acute Coronary Syndrome Study (ACS)

Ullevaal University Hospital

Status: Unknown

Conditions: Acute Coronary Syndrome

Treatments: Other: Care as usual. No intervention. (Control group); Other: Early discharge

Study type: Interventional

Funder types: Other

Identifiers

NCT01027026

REK: 6.2008.1724

Details and patient eligibility

About

The investigators will make a prospective study in which they will look at the economics and security of the treatment of patients with acute coronary syndrome.

The investigators want to do a randomized trial. One group will be treated as they have been treated at Ullevål University Hospital (UUS) in recent years, and the other group will be returned to their refering hospital the same day. The objective of this study will be to provide increased knowledge about whether the rapid discharge from the intervention center is associated with differences in costs or security.

Full description

The topic of this study is whether patients with Acute coronary syndrome (ACS)may can be transferred to their refering hospital same day that they arrived intervention hospital.

This is to see if one can reduce the hospital stay and costs for the intervention center, and the total hospitalization time.

and this rapid transport not give more medical complications

Our 1 hypothesis is that patients with ACS, who are transported back to the refering hospital the same day, will reduce the length of stay in intervention center without an increase for the stay at the refering hospital.

Our 2 hypothesis is that patients with ACS, who are transported back to the refering hospital the same day as the treatment is performed, have no more complications than those who stay overnight in the intervention hospital.

Enrollment: 400 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients with acute coronary syndrome who are referred from other hospitals

Exclusion criteria

• Patients younger than 18years.
• Known mental retardation, dementia or harmful use of alcohol or drugs.
• Allergy or intolerance to ASA and / or clopidogrel.
• Patients who have previously been involved in this study.
• Acute STEMI infarction for less than 72 hours ago.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Group 1 Fast Track Group

Experimental group

Description:

The patients are discharged the same day after coronary angiography to the refering Hospital

Treatment:

Other: Early discharge

Group 2: Ordinary care

Active Comparator group

Description:

Ordinary Cardiology care in the Intervention hospital

Treatment:

Other: Care as usual. No intervention. (Control group)