ID
11722
Beskrivning
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
Länk
https://clinicaltrials.gov/ct2/show/NCT01084239
Nyckelord
Versioner (1)
- 2015-07-28 2015-07-28 -
Uppladdad den
28 juli 2015
DOI
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Licens
Creative Commons BY 4.0
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Eligibility ROMICAT-II Acute Coronary Syndrome NCT01084239
Eligibility Critera
- StudyEvent: ODM
Beskrivning
Exclusion Criteria
Beskrivning
New diagnostic ischemic ECG changes
Datatyp
boolean
Alias
- UMLS CUI-1
- C0474715
Beskrivning
ST-segment elevation or depression > 1 mm
Datatyp
boolean
Alias
- UMLS CUI-1
- C0520886
Beskrivning
T-wave inversion > 4 mm
Datatyp
boolean
Alias
- UMLS CUI-1
- C0520888
Beskrivning
Documented or self-reported history of MI
Datatyp
boolean
Alias
- UMLS CUI-1
- C1275835
Beskrivning
Documented or self-reported history of percutaneous coronary interventions [PCIs]
Datatyp
boolean
Alias
- UMLS CUI-1
- C1320647
Beskrivning
Documented or self-reported history of coronary artery bypass graft [CABG]
Datatyp
boolean
Alias
- UMLS CUI-1
- C1842251
Beskrivning
Documented or self-reported history of known significant coronary stenosis [>50%]
Datatyp
boolean
Alias
- UMLS CUI-1
- C0242231
Beskrivning
Greater than 6 hours since presentation to ED.
Datatyp
boolean
Alias
- UMLS CUI-1
- C1320532
Beskrivning
BMI >40 kg/m2
Datatyp
boolean
Alias
- UMLS CUI-1
- C1305855
Beskrivning
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Datatyp
boolean
Alias
- UMLS CUI-1
- C0035078
Beskrivning
Impaired renal function as defined by serum creatinine >1.5 mg/dL*
Datatyp
boolean
Alias
- UMLS CUI-1
- C0201975
Beskrivning
Elevated troponin-T (> 0.09 ng/ml)
Datatyp
boolean
Alias
- UMLS CUI-1
- C1141947
Beskrivning
Hemodynamically or clinically unstable condition (BP systolic < 80 mm Hg, atrial or ventricular arrhythmias, persistent chest pain despite adequate therapy)
Datatyp
boolean
Alias
- UMLS CUI-1
- C0948268
Beskrivning
BP systolic < 80 mm Hg
Datatyp
boolean
Alias
- UMLS CUI-1
- C0871470
Beskrivning
atrial or ventricular arrhythmias
Datatyp
boolean
Alias
- UMLS CUI-1
- C0085612
- UMLS CUI-2
- C0085611
Beskrivning
persistent chest pain despite adequate therapy
Datatyp
boolean
Alias
- UMLS CUI-1
- C0008031
Beskrivning
Known allergy to iodinated contrast agent
Datatyp
boolean
Alias
- UMLS CUI-1
- C0570562
Beskrivning
Currently symptomatic asthma
Datatyp
boolean
Alias
- UMLS CUI-1
- C0004096
Beskrivning
Documented or self-reported cocaine use within the past 48 hours (acute)
Datatyp
boolean
Alias
- UMLS CUI-1
- C0239076
Beskrivning
On Metformin therapy and unable or unwilling to discontinue for 48 hours after the CT scan
Datatyp
boolean
Alias
- UMLS CUI-1
- C0025598
Beskrivning
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
Datatyp
boolean
Alias
- UMLS CUI-1
- C1278474
Beskrivning
Participant with no telephone or cell phone numbers or no address (preventing follow-up)
Datatyp
boolean
Alias
- UMLS CUI-1
- C1515258
Beskrivning
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.
Datatyp
boolean
Alias
- UMLS CUI-1
- C0549206
Beskrivning
Participant unwilling to provide a written informed consent.
Datatyp
boolean
Alias
- UMLS CUI-1
- C0021430
Similar models
Eligibility Critera
- StudyEvent: ODM
C0085611 (UMLS CUI-2)