Validation of the Panic Screening Score in Patient With Unexplained Chest Pain

CISSS de Chaudière-Appalaches

Status

Unknown

Conditions

Panic Attack

Noncardiac Chest Pain

Treatments

Other: No intervention

Study type

Observational

Funder types

Other

Identifiers

NCT02405052

286934

Details and patient eligibility

About

Panic-like anxiety ( panic attacks with or without panic disorder), a highly treatable condition, is the most prevalent condition associated with unexplained chest pain in the emergency department. Panic-like anxiety may be responsible for a significant portion of the negative consequences of unexplained chest pain, such as functional limitations and chronicity. However, more than 92% of panic-like anxiety cases remain undiagnosed at the time of discharge from the emergency department. The 4-item Panic Screening Score questionnaire was derived in order to increase the identification of panic-like anxiety in emergency department patients with unexplained chest pain.

The goals of this prospective cohort study are to (1) refine the Panic Screening Score; (2) validate the revised version of the Panic Screening Score; (3) measure the reliability of the revised version of the Panic Screening Score and (4) assess the acceptability of the instrument among emergency physicians.

Enrollment

3,000 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Presenting unexplained chest pain as defined by:

the absence of an identifiable cause (e.g., pneumothorax,pneumonia),
the absence of chest trauma,
the absence of new malignant cardiac arrhythmia, and
a score of 2 or less on the modified version of the thrombolysis in myocardial infarction score.

Exclusion criteria

presence of a terminal illness;
presence of a severe communication problem that could interfere with the administration of the questionnaire;
presence of a psychotic state, a major cognitive deficit or other condition that could invalidate the interview;
being legally incompetent.