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NCT Number: NCT04014972

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

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.

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Key information

Conditions

Chest Pain Center Acute Aortic Syndrome Aneurysm Angina Pectoris Angina, Unstable Aortic Diseases Aortic Dissection Cardiovascular Diseases Chest Pain Dissection, Blood Vessel Embolism Embolism and Thrombosis Heart Diseases Infarction Ischemia Lung Diseases Myocardial Infarction Myocardial Ischemia NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI) Necrosis Neurologic Manifestations Pain Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Embolism Respiratory Tract Diseases ST Elevation Myocardial Infarction STEMI - ST Elevation Myocardial Infarction Signs and Symptoms Unstable Angina (UA) Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Patients were included if they met the following criteria:

  • age ≥18 years;
  • either sex;
  • a definitive diagnosis of at least one of the following: acute coronary syndrome (STEMI, NSTEMI, or unstable angina), acute pulmonary embolism, or aortic dissection.

Exclusion criteria

  • No

Treatment and study plan

Primary outcomes

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

    Time frame: baseline

    mean and standard deviation of STEMI patients

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

    Time frame: baseline

    Proportion of female STEMI patients

  3. emergency information of STEMI patients

    Time frame: baseline

    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

  4. admission status of STEMI patients

    Time frame: baseline

    admission status of STEMI patients

  5. hospitalization evaluation of STEMI patients

    Time frame: baseline

    value of serum troponin and serum creatinin of STEMI patients

  6. In-hospital mortality of STEMI patients

    Time frame: baseline

    In-hospital mortality of STEMI patients

  7. Hospitalization days of STEMI patients

    Time frame: baseline

    Hospitalization days of STEMI patients

  8. Total cost of STEMI patients

    Time frame: baseline

    Total cost of STEMI patients

  9. admission status of acute aortic dissection patients

    Time frame: baseline

    admission status of acute aortic dissection patients

  10. In-hospital mortality of acute aortic dissection patients

    Time frame: baseline

    In-hospital mortality of acute aortic dissection patients

  11. Misdiagnosis rate of acute aortic dissection patients

    Time frame: baseline

    Misdiagnosis rate of acute aortic dissection patients

  12. emergency information of acute aortic dissection patients

    Time frame: baseline

    Emergency treatment

Sponsors and collaborators

Lead sponsor

China Cardiovascular Association

Other

Collaborators

  • Fudan University
  • Peking University
  • Peking University First Hospital
  • Shanghai Zhongshan Hospital

Registry information

Important dates

Study start
2015
Primary completion
2021
Study completion
2021
First posted
Jul 10, 2019
Registry last updated
Jul 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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