Risk-score Based ICU Triage
Rational Coronary Care Unit Triage for Stable Patients With NSTEMI: Evaluating the Safety and Costs of a Risk Score-based Triaging System
1 other identifier
observational
462
1 country
1
Brief Summary
The investigators have created a new risk score that predicts whether initially stable patients with myocardial infarctions (heart attacks) will require intensive care while they are in the hospital. To evaluate how well this risk score works, the investigators plan to calculate this risk score for every patient that comes to the hospital with a heart attack, provide the risk score to the emergency room doctor treating the patient, and determine whether each patient required intensive care while they were in the hospital. The investigators will then evaluate whether giving emergency room doctors access to this risk score reduced costs of taking care of heart attack patients compared with previous years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 28, 2017
CompletedFirst Posted
Study publicly available on registry
January 4, 2018
CompletedStudy Start
First participant enrolled
February 14, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2019
CompletedSeptember 30, 2019
September 1, 2019
1.5 years
December 28, 2017
September 27, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hospital cost in dollars
Cost of caring for NSTEMI patients at Duke University Hospital in the 1 year prior to roll-out of the risk score versus the 1 year after
1 year
Secondary Outcomes (8)
ICU transfer
30 days
Development of complications mandating ICU care during the index hospitalization
30 days
Death during the index hospitalization
30 days
Shock during the index hospitalization
30 days
Cardiac arrest during the index hospitalization
30 days
- +3 more secondary outcomes
Study Arms (1)
Patients with NSTEMI
All patients admitted to Duke University Hospital with an NSTEMI
Interventions
All patients admitted to Duke University Hospital with an NSTEMI
Eligibility Criteria
Patients presenting to the Duke University Medical Center Emergency Department with elevated cardiac troponin
You may qualify if:
- Presents to DUMC with elevated cardiac troponin
- Identified by ED physician as having myocardial infarction
You may not qualify if:
- ST segment elevation myocardial infarction
- Hemodynamically unstable
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Duke Universitylead
Study Sites (1)
Duke University
Durham, North Carolina, 27705, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alexander Fanaroff, MD
Duke University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- OTHER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 28, 2017
First Posted
January 4, 2018
Study Start
February 14, 2018
Primary Completion
August 31, 2019
Study Completion
August 31, 2019
Last Updated
September 30, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will not share