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

NCT02405052 | Unknown

• 1 other identifier: 286934
• Study Type: observational
• Target: 3,000
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Noncardiac Chest Pain; Panic Attack

Outcome Measures

Primary Outcomes (1)

• Accuracy of the Panic Screening Score

  3 years

Study Arms (1)

Patients

Emergency department patients with unexplained chest pain

Other: No intervention

Interventions

No intervention OTHER

Validation of the Panic Screening Score

Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients in the emergency department

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• CISSS de Chaudière-Appalaches: lead

Study Sites (1)

Centre de recherche, CSSS Alphonse-Desjardins, Centre hospitalier affilié universitaire de Lévis

Lévis, Quebec, G6V 3Z1, Canada

RECRUITING

Related Publications (1)

• Foldes-Busque G, Denis I, Poitras J, Fleet RP, Archambault P, Dionne CE. A prospective cohort study to refine and validate the Panic Screening Score for identifying panic attacks associated with unexplained chest pain in the emergency department. BMJ Open. 2013 Oct 25;3(10):e003877. doi: 10.1136/bmjopen-2013-003877.

  PMID: 24163208 BACKGROUND

MeSH Terms

Conditions

Panic Disorder

Condition Hierarchy (Ancestors)

Anxiety Disorders; Mental Disorders

Study Officials

• Guillaume Foldes-Busque, Ph.D

  Centre hospitalier affilié universitaire de Lévis

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Guillaume Foldes-Busque, Ph.D

CONTACT

418-835-7121; guillaume.Foldes-Busque@psy.ulaval.ca

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chercheur

Study Record Dates

• First Submitted: March 29, 2015
• First Posted: April 1, 2015
• Study Start: July 1, 2013
• Primary Completion: December 1, 2015
• Last Updated: April 1, 2015

Record last verified: 2015-03

Locations

CA (1)