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OpenTrials
Completed

NCT Number: NCT03132935

Telemedical vs. Conventional Prehospital Care in Acute Coronary Syndromes

Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups.

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Key information

Conditions

Acute Coronary Syndrome Cardiovascular Diseases Heart Diseases Infarction Ischemia Myocardial Infarction Myocardial Ischemia Necrosis Pathologic Processes Pathological Conditions, Signs and Symptoms ST Elevation Myocardial Infarction Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Aachen

Aachen, 52074, Germany

About this study

Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups. All data was collected prospectively for quality management purposes and analyzed retrospectively after ethical approval by the local ethics committee.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

symptoms of acute coronary syndrome -

Exclusion criteria

secondary transfers from hospital to hospital, traumatic chest pain

-

Treatment and study plan

Telemedical support

Procedure

Telemedical support by a physician in a telemedicine centre

Primary outcomes

  1. Adverse events

    Time frame: prehospital phase (0.5-2 hours)

    respiratory / circulatory insufficiency, allergic reaction, cardiac arrest

Secondary outcomes

  1. Correct use of Aspirin

    Time frame: prehospital phase (0.5-2 hours)

    Correct use of Aspirin based on current guidelines

  2. Correct use of unfractionated Heparin (UFH)

    Time frame: prehospital phase (0.5-2 hours)

    Correct use of UFH based on current guidelines

  3. Correct use of Morphine

    Time frame: prehospital phase (0.5-2 hours)

    Correct use of Morphine based on current guidelines

  4. Use of 12-lead-ECG

    Time frame: prehospital phase (0.5-2 hours)

    Use of 12-lead-ECG after first medical contact

  5. Correct transport destination

    Time frame: prehospital phase (0.5-2 hours)

    hospital with cath lab in ST-segment elevation myocardial infarction or high-risk Non-STEMI-ACS

  6. Correct use of oxygen

    Time frame: prehospital phase (0.5-2 hours)

    Correct use of Morphine based on current guidelines

  7. Correct use of Glyceroltrinitrate

    Time frame: prehospital phase (0.5-2 hours)

    Correct use of Glyceroltrinitrate based on current guidelines

Sponsors and collaborators

Lead sponsor

RWTH Aachen University

Other

Registry information

Official study title

Quality Outcomes in Acute Coronary Syndromes Between Telemedically Supported Paramedics and Conventional On-scene Physician Care

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Apr 28, 2017
Registry last updated
Apr 28, 2017

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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