ID
11722
Descripción
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
Palabras clave
Versiones (1)
- 28/7/15 28/7/15 -
Subido en
28 de julio de 2015
DOI
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Licencia
Creative Commons BY 4.0
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Eligibility ROMICAT-II Acute Coronary Syndrome NCT01084239
Eligibility Critera
- StudyEvent: ODM
Descripción
Exclusion Criteria
Descripción
New diagnostic ischemic ECG changes
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0474715
Descripción
ST-segment elevation or depression > 1 mm
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0520886
Descripción
T-wave inversion > 4 mm
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0520888
Descripción
Documented or self-reported history of MI
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1275835
Descripción
Documented or self-reported history of percutaneous coronary interventions [PCIs]
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1320647
Descripción
Documented or self-reported history of coronary artery bypass graft [CABG]
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1842251
Descripción
Documented or self-reported history of known significant coronary stenosis [>50%]
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0242231
Descripción
Greater than 6 hours since presentation to ED.
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1320532
Descripción
BMI >40 kg/m2
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1305855
Descripción
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0035078
Descripción
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0201975
Descripción
Elevated troponin-T (> 0.09 ng/ml)
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1141947
Descripción
Hemodynamically or clinically unstable condition (BP systolic < 80 mm Hg, atrial or ventricular arrhythmias, persistent chest pain despite adequate therapy)
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0948268
Descripción
BP systolic < 80 mm Hg
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0871470
Descripción
atrial or ventricular arrhythmias
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0085612
- UMLS CUI-2
- C0085611
Descripción
persistent chest pain despite adequate therapy
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0008031
Descripción
Known allergy to iodinated contrast agent
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0570562
Descripción
Currently symptomatic asthma
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0004096
Descripción
Documented or self-reported cocaine use within the past 48 hours (acute)
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0239076
Descripción
On Metformin therapy and unable or unwilling to discontinue for 48 hours after the CT scan
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0025598
Descripción
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
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1278474
Descripción
Participant with no telephone or cell phone numbers or no address (preventing follow-up)
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C1515258
Descripción
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.
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0549206
Descripción
Participant unwilling to provide a written informed consent.
Tipo de datos
boolean
Alias
- UMLS CUI-1
- C0021430
Similar models
Eligibility Critera
- StudyEvent: ODM
C0085611 (UMLS CUI-2)