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Digital Decision Support in the Management of Patients With Chest Pain
Sponsor: Vastra Gotaland Region
Summary
The goal of this observational study is to develop a decision support system in patients presenting with chest pain in the prehospital setting. The main question it aims to answer is: • Performance of a machine learning based model for decision support of patients in contact with emergency medical services due to chest pain Participants will be asked to: * respond to questions asked by the clinician at the scene regarding previous known risk factors and pain characteristics * consent to the collection of routinely available data from medical records * consent of taking one blood sample capillary or venous (if perifer catheter is placed for standard care reasons) troponin and glucose which is measured at the scene, disposed, and the result is entered in the clinical report form.
Official title: Development of a Decision Support System in the Assessment of Patients With Chest Pain in the Prehospital Setting
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
2000
Start Date
2023-05-15
Completion Date
2027-03
Last Updated
2023-06-18
Healthy Volunteers
No
Interventions
Troponin hs-cTnI
One sample of Troponin (hs-cTnI) is obtained and analyzed at the scene. Capillary blood sample or venous (lithium heparin) if peripheral venous catheter is inserted for standard care reasons. The sample is disposed after the result has been recorded in the clinical report form. The clinicians participating in the study are instructed and have been educated about the study to only collect the data (report form with measurements) and provide care as constituted by the guidelines. Patients will be monitored by board members that standard clinical care is provided.
Plasma glucose
One sample of plasma glucose is obtained and analyzed at the scene. The sample is then disposed and the measured value is recorded in the clinical report form. P-glucose measurement is clinical practice in standard care and is measured on all patients with diabetes and patients with altered mental status or at the ambulance nurse discretion.
Locations (3)
Department of Prehospital Emergency Care,Region Halland
Kungsbacka, Region Halland, Sweden
Department of Prehospital Emergency Care, Sahlgrenska University Hospital
Gothenburg, Region Vastra Gotaland, Sweden
Department of Prehospital Emergency Care, Skaraborg
Lidköping, Region Vastra Gotaland, Sweden