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Pre-hospital Rule-out of Acute Coronary Syndrome — ARTICA  

Acute Coronary Syndrome Clinical Trial

Official title:
Acute Rule Out of Non ST-segment Elevation Acute Coronary Syndrome in the (Pre)Hospital Setting by HEART Score Assessment and a Single Point-of-care Troponin

Clinical Trial Summary

Patients with chest pain suspected for non ST-segment elevation acute coronary syndrome (NSTE-ACS) are routinely transferred to the emergency department (ED). A point-of-care (POC) troponin measurement might enable ambulance paramedics to identify low-risk patients in whom ED evaluation is not necessary. The ARTICA trial aims to assess the healthcare cost reduction and safety of a pre-hospital rule-out strategy using a single POC troponin measurement.

Clinical Trial Description

Patients with chest pain suspected of a NSTE-ACS are screened by ambulance paramedics. The HEAR score (HEART score without the Troponin component) is assessed and patients with a HEAR score of ≤3 are included. The patients are randomised to 1) pre-hospital rule-out with POC troponin measurement (intervention group) and 2) direct transfer to the ED (standard care group). Primary outcome is healthcare costs after 30 days. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05466591
Study type Interventional
Source Radboud University Medical Center
Contact
Status Active, not recruiting
Phase N/A
Start date March 1, 2019
Completion date May 4, 2023
View Details
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