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Completed

NCT Number: NCT01563250

Improving the Management of Acute Coronary Syndromes in the Emergency Department

By using a Rapid Cardiac Evaluation (RACE) pathway in the Emergency Department (ED), the investigators can effectively reduce ED wait times and ED length of stay by decreasing overall hospital admissions and telemetry admissions. In addition, the investigators hypothesize a decrease in mortality of those patients admitted for cardiac evaluation by increasing the patient to health care provider ratio.

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Key information

Conditions

Acute Coronary Syndrome Cardiovascular Diseases Heart Diseases Myocardial Ischemia Vascular Diseases

Age range

35 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

New York Methodist Hospital

Brooklyn, New York, 11215, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Chief complaint of chest pain
  • 35 years old or greater

Exclusion criteria

  • ST elevation MI
  • New Left Bundle Branch Block
  • Admission regardless of test result
  • Leaving ED against medical advice

Treatment and study plan

Point of Care testing

Device

The investigators will implement 6 months of randomized testing periods, 2 weeks each. During this 2 week block, cardiac biomarkers will be tested at the bedside in the ED using the Triage Cardiac Panel that will test for CK-MB, Myoglobin, and Troponin I.

Each blood sample that is take for point of care testing will be saved. The plasma from the saved sample will be frozen and the sample will be sent to an off-site testing center for high sensitivity troponin testing.

All patients will be followed at the 30-day mark and those patients who are discharged home from the ED will be followed within 48 hours as well.

Other names: Triage Cardiac Panel by Alere

Primary outcomes

  1. ED length of stay

    Time frame: Average of 3 hours stay in the Emergency Department

    From patient check-in time to patient admit or discharge time

Secondary outcomes

  1. Mortality rate of admitted patients

    Time frame: During hospital admission and at 30 days

    Average hospital stay 3 days.

  2. Hospital Admission Rate

    Time frame: Baseline

    Observing the rate at which physicians admit patients to the hospital.

Sponsors and collaborators

Lead sponsor

Integrated Medical Research LLC

Other

Collaborators

  • Alere San Diego
  • New York State Department of Health

Registry information

Official study title

Improving the Management of Acute Coronary Syndromes in the Emergency Department Using a Rapid Acute Cardiac Evaluation Pathway

Acronym: RACE

Important dates

Study start
2011
Primary completion
2011
Study completion
2011
First posted
Mar 26, 2012
Registry last updated
Apr 4, 2013

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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