Medical Telephone Triage of Emergency Calls for Thoracic Pain

Acute Coronary Syndrome Clinical Trial

— DOREMI2  

Official title:

Medical Telephone Triage of Emergency Calls for Thoracic Pain: Construction of a Probability Score for Acute Coronary Syndrome.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02042209
• Other study ID #: 0903508
• Secondary ID: PHRC interégiona
• Status: Completed
• Start date: May 2010
• Est. completion date: December 2012

Study information

• Verified date: July 2020
• Source: University Hospital, Toulouse
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Thoracic pain is the main symptom of acute coronary syndrome (ACS), urgent and serious illness. Whereas hospital mortality decreased until reaching 10%, out-of-hospital mortality remains high: half of the deaths occur during the first two hours. The benefit of an early diagnosis of ACS in term of morbidity and mortality is well established. Identification of the coronary origin of a thoracic pain by the telephone triage physician of the pre-hospital emergency service (SAMU) leads to the sending of a physician staffed ambulance (UMH) and is thus a key element of the prognosis.

The aim of the study is to build a telephone predictive score of ACS at the triage of calls for non traumatic thoracic pain. The separate analysis of the questionnaires by sex will authorize the validation of a unique score or two distinct scores for men and women.

Description:

In France, approximately 30% of the calls for thoracic pain associated with an ACS do not benefit from the sending of an UMH. Our assumption is that this situation could be improved if telephone triage physicians were guided by recommendations or consensual algorithms of decision. The telephone triage doctor will manage a single questionnaire with the patient, with demographic and simple clinical data. The construction of the score will be done by the analysis of these data confronted with the final diagnosis (effective ACS or not). The effective existence of an ACS among patients with thoracic pain will be affirmed by an expert committee after collection of the intra-hospital patient's data and the follow-up at one month.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4205
• Est. completion date: December 2012
• Est. primary completion date: December 2011
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient presenting a non-traumatic chest pain.

• Call to the telephone triage center in first (direct call from the patient) or second intention (call of another person before the patient)

Exclusion Criteria:

• Inability to speak directly to the patient

Related Conditions & MeSH terms

• Acute Coronary Syndrome
• Chest Pain
• Emergencies
• Syndrome

Locations

Country	Name	City	State
France	Bordeaux Hospital Center	Bordeaux
France	La Réunion Hospital center	Saint-denis
France	Toulouse Hosital Center	Toulouse

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Toulouse

Country where clinical trial is conducted

France, 

References & Publications (1)

Reuter PG, Pradeau C, Huo Yung Kai S, Lhermusier T, Bourdé A, Tentillier E, Combes X, Bongard V, Ducassé JL, Charpentier S. Predicting acute coronary syndrome in males and females with chest pain who call an emergency medical communication centre. Scand J — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	diagnosis of acute coronary syndrome (ACS)	The criterion selected to build these scores will be the effective existence of an ACS among included patients.	one month