Clinical Decision Support System to Define 30 Day Adverse Clinical Events for Emergency Department Acute Coronary Syndromes

Overview

Acute coronary syndromes are among main complains for patients presenting to emergency department. Risk classification systems are used to classify patients to appropriate risks and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Full Title of Study: “Development of Clinical Decision Support System to Define 30 Day Adverse Clinical Events (Non Fatal Myocardial Infarction, Cardiac Related Death or Coronary Intervention) for Patients Presenting to Emergency Department With Acute Coronary Syndrome”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: December 12, 2017

Detailed Description

Acute coronary syndromes are among main complains for patients presenting to emergency department and create a burden to emergency departments and hospitals. Risk classification systems were developed and used to classify patients to appropriate risk groups. According to risk classification, different diagnosis and treatment modalities can be used and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Interventions

  • Diagnostic Test: Further cardiac imaging
    • Study patients will be reviewed whether they will have coronary interventions in 30 days

Arms, Groups and Cohorts

  • Patients presenting with acute coronary syndrome
    • Patients presenting to emergency department with acute coronary syndrome

Clinical Trial Outcome Measures

Primary Measures

  • Non fatal myocardial infarction, cardiac related death or coronary intervention in 30 days
    • Time Frame: 30 days
    • Patients will be screened for 30 days for Non fatal myocardial infarction, cardiac related death or coronary intervention (coronary angiogram, coronary artery bypass surgery)

Participating in This Clinical Trial

Inclusion Criteria

  • Presenting to emergency department with acute chest pain consistent with acute coronary syndrome

Exclusion Criteria

  • Patients with less than 18 years old
  • Patients presenting with ST-segment elevation myocardial infarction
  • Patients presenting with other causes of acute chest pain (pneumothorax, pulmonary -embolism, aortic dissection
  • Decline to participate in study

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Investigator Details

  • Lead Sponsor
    • Turkish Ministry of Health Izmir Teaching Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: Serhat Akay, M.D. – Turkish Ministry of Health Izmir Teaching Hospital
  • Overall Contact(s)
    • Nesli Belen, M.D., 90-551-4363001, neslibelen@yahoo.com

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