Current Status and Determinants of Care for Patients With Acute Chest Pain in China: A Retrospective Analysis of Data From the China Chest Pain Center Registry

NCT04014972 | Completed

• 1 other identifier: 2020 Research 242
• Study Type: observational
• Target: 3,000,000
• Locations: 0 countries
• Sites: N/A

Brief Summary

Chinese Cardiovascular Association is an association dedicated to establishing Chest Pain Centers in hospitals that have basic qualifications and meet pre-designed quality control targets.The vision of Chinese Cardiovascular Association is the cardiovascular health of every Chinese, and the mission is to realize the early arrival of the inflection point of cardiovascular events in China.The institute of China Heart House is responsible for the daily management and implementation of Chinese Cardiovascular Association and the implementation and management of the Chest Pain Center construction project.In order to improve standard treatment and chest pain system management to achieve better outcomes for patients, China Heart House established the chest pain center database.The database includes patients in 6000 registered hospitals in 31 provinces in China who have been admitted with chest pain.The database can reflect the clinical characteristics, treatment and outcome of patients with chest pain in China. This non-interventional, retrospective study analyzed the chest pain center database to understand the demographics, clinical characteristics, treatment patterns and clinical outcomes of patients with chest pain, and to analyze the effects of different treatment patterns, including chest pain centers and related collaborative treatment networks.The results of the study will assess the gap between the real-world situation and the recommendations of the guidelines and reflect the effect of chest pain centers and related collaborative treatment networks on the treatment process and service quality.The research results can be directly translated into the basis of medical treatment system intervention, and also provide decision-making reference for improving the evaluation standards and quality control of chest pain centers.

Conditions

Chest Pain Center; STEMI - ST Elevation Myocardial Infarction; NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI); Unstable Angina (UA); Aortic Dissection; Pulmonary Embolism

Outcome Measures

Primary Outcomes (12)

• mean and standard deviation of STEMI (ST-segment elevated Myocardial Infarction)patients

  mean and standard deviation of STEMI patients

  baseline

• Proportion of STEMI (ST-segment elevated Myocardial Infarction)patients

  Proportion of female STEMI patients

  baseline

• emergency information of STEMI patients

  Path to hospital First medical contact time Does the patient circumvent emergency Telecardiogram transmission STEMI Reperfusion Therapy Initiation time of interventional surgery Catheter chamber activation time Time of arrival of patient in catheter room Guide wire passage time D2B time

  baseline

• admission status of STEMI patients

  admission status of STEMI patients

  baseline

• hospitalization evaluation of STEMI patients

  value of serum troponin and serum creatinin of STEMI patients

  baseline

• In-hospital mortality of STEMI patients

  In-hospital mortality of STEMI patients

  baseline

• Hospitalization days of STEMI patients

  Hospitalization days of STEMI patients

  baseline

• Total cost of STEMI patients

  Total cost of STEMI patients

  baseline

• admission status of acute aortic dissection patients

  admission status of acute aortic dissection patients

  baseline

• In-hospital mortality of acute aortic dissection patients

  In-hospital mortality of acute aortic dissection patients

  baseline

• Misdiagnosis rate of acute aortic dissection patients

  Misdiagnosis rate of acute aortic dissection patients

  baseline

• emergency information of acute aortic dissection patients

  Emergency treatment

  baseline

Study Arms (1)

Patients with Myocardial Infarction

Eligibility Criteria

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

Study Population

The study population was inpatients (18 years and older) admitted to the Chest Pain Central database with symptoms of chest pain.The database registration of this study was conducted in more than 6000 registered hospitals in 31 provinces in China.All hospitals participating in the Chest Pain Center program are encouraged to manage patients in accordance with local standard practices (as recommended by current Chinese guidelines). This study will include data on all patients in the chest pain central database.

Sponsors & Collaborators

• China Cardiovascular Association: lead
• Peking University First Hospital: collaborator
• Shanghai Zhongshan Hospital: collaborator
• Peking University: collaborator
• Fudan University: collaborator

MeSH Terms

Conditions

ST Elevation Myocardial Infarction; Angina, Unstable; Aortic Dissection; Pulmonary Embolism

Condition Hierarchy (Ancestors)

Myocardial Infarction; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis; Angina Pectoris; Chest Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Dissection, Blood Vessel; Aneurysm; Acute Aortic Syndrome; Aortic Diseases; Lung Diseases; Respiratory Tract Diseases; Embolism; Embolism and Thrombosis

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 3, 2019
• First Posted: July 10, 2019
• Study Start: January 1, 2015
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2021
• Last Updated: July 16, 2026

Record last verified: 2026-07