ID
11722
Beschreibung
The growing availability of cardiac computed tomography (CT)* in emergency departments (EDs) across the U.S. expands the opportunities for its clinical application, but also heightens the need to define its appropriate use in the evaluation of patients with acute chest pain. To address this need, we performed a randomized diagnostic trial (RDT) to determine whether integrating cardiac CT, along with the information it provides on coronary artery disease (CAD) and left ventricular (LV) function, can improve the efficiency of the management of these patients (i.e. shorten length of hospital stay, increase direct discharge rates from the ED, decreasing healthcare costs and improving cost effectiveness while being safe). https://clinicaltrials.gov/ct2/show/NCT01084239
Link
https://clinicaltrials.gov/ct2/show/NCT01084239
Stichworte
Versionen (1)
- 28.07.15 28.07.15 -
Hochgeladen am
28. Juli 2015
DOI
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Lizenz
Creative Commons BY 4.0
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Eligibility ROMICAT-II Acute Coronary Syndrome NCT01084239
Eligibility Critera
- StudyEvent: ODM
Beschreibung
Exclusion Criteria
Beschreibung
New diagnostic ischemic ECG changes
Datentyp
boolean
Alias
- UMLS CUI-1
- C0474715
Beschreibung
ST-segment elevation or depression > 1 mm
Datentyp
boolean
Alias
- UMLS CUI-1
- C0520886
Beschreibung
T-wave inversion > 4 mm
Datentyp
boolean
Alias
- UMLS CUI-1
- C0520888
Beschreibung
Documented or self-reported history of MI
Datentyp
boolean
Alias
- UMLS CUI-1
- C1275835
Beschreibung
Documented or self-reported history of percutaneous coronary interventions [PCIs]
Datentyp
boolean
Alias
- UMLS CUI-1
- C1320647
Beschreibung
Documented or self-reported history of coronary artery bypass graft [CABG]
Datentyp
boolean
Alias
- UMLS CUI-1
- C1842251
Beschreibung
Documented or self-reported history of known significant coronary stenosis [>50%]
Datentyp
boolean
Alias
- UMLS CUI-1
- C0242231
Beschreibung
Greater than 6 hours since presentation to ED.
Datentyp
boolean
Alias
- UMLS CUI-1
- C1320532
Beschreibung
BMI >40 kg/m2
Datentyp
boolean
Alias
- UMLS CUI-1
- C1305855
Beschreibung
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Datentyp
boolean
Alias
- UMLS CUI-1
- C0035078
Beschreibung
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Datentyp
boolean
Alias
- UMLS CUI-1
- C0201975
Beschreibung
Elevated troponin-T (> 0.09 ng/ml)
Datentyp
boolean
Alias
- UMLS CUI-1
- C1141947
Beschreibung
Hemodynamically or clinically unstable condition (BP systolic < 80 mm Hg, atrial or ventricular arrhythmias, persistent chest pain despite adequate therapy)
Datentyp
boolean
Alias
- UMLS CUI-1
- C0948268
Beschreibung
BP systolic < 80 mm Hg
Datentyp
boolean
Alias
- UMLS CUI-1
- C0871470
Beschreibung
atrial or ventricular arrhythmias
Datentyp
boolean
Alias
- UMLS CUI-1
- C0085612
- UMLS CUI-2
- C0085611
Beschreibung
persistent chest pain despite adequate therapy
Datentyp
boolean
Alias
- UMLS CUI-1
- C0008031
Beschreibung
Known allergy to iodinated contrast agent
Datentyp
boolean
Alias
- UMLS CUI-1
- C0570562
Beschreibung
Currently symptomatic asthma
Datentyp
boolean
Alias
- UMLS CUI-1
- C0004096
Beschreibung
Documented or self-reported cocaine use within the past 48 hours (acute)
Datentyp
boolean
Alias
- UMLS CUI-1
- C0239076
Beschreibung
On Metformin therapy and unable or unwilling to discontinue for 48 hours after the CT scan
Datentyp
boolean
Alias
- UMLS CUI-1
- C0025598
Beschreibung
Contraindication to beta blockers (taking daily antiasthmatic medication): This exclusion only applies to patients with a heart rate >65 bpm at sites using a non-dual source CT scanner
Datentyp
boolean
Alias
- UMLS CUI-1
- C1278474
Beschreibung
Participant with no telephone or cell phone numbers or no address (preventing follow-up)
Datentyp
boolean
Alias
- UMLS CUI-1
- C1515258
Beschreibung
Participant with positive pregnancy test. Women of childbearing potential, defined as <2 years of menopause in the absence of hysterectomy or tube ligation, must have a pregnancy test performed within 24 hours before the CT scan.
Datentyp
boolean
Alias
- UMLS CUI-1
- C0549206
Beschreibung
Participant unwilling to provide a written informed consent.
Datentyp
boolean
Alias
- UMLS CUI-1
- C0021430
Ähnliche Modelle
Eligibility Critera
- StudyEvent: ODM
C0085611 (UMLS CUI-2)