The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department
<p>Abstract</p> <p>Background</p> <p>Chest pain is a common presenting complaint in the emergency department (ED). Despite the frequency with which clinicians evaluate patients with chest pain, accurately determining the risk of acute coronary syndrome (ACS) and sharing...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-05-01
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| Series: | Trials |
| Online Access: | http://www.trialsjournal.com/content/11/1/57 |
| _version_ | 1811328994673426432 |
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| author | Branda Megan E Breslin Maggie Shah Nilay D Kline Jeffrey A Hess Erik P Pierce Meghan A Pencille Laurie J Asplin Brent R Nestler David M Sadosty Annie T Stiell Ian G Ting Henry H Montori Victor M |
| author_facet | Branda Megan E Breslin Maggie Shah Nilay D Kline Jeffrey A Hess Erik P Pierce Meghan A Pencille Laurie J Asplin Brent R Nestler David M Sadosty Annie T Stiell Ian G Ting Henry H Montori Victor M |
| author_sort | Branda Megan E |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Chest pain is a common presenting complaint in the emergency department (ED). Despite the frequency with which clinicians evaluate patients with chest pain, accurately determining the risk of acute coronary syndrome (ACS) and sharing risk information with patients is challenging. The aims of this study are (1) to develop a decision aid (<it>CHEST PAIN CHOICE</it>) that communicates the short-term risk of ACS and (2) to evaluate the impact of the decision aid on patient participation in decision-making and resource use.</p> <p>Methods/Design</p> <p>This is a protocol for a parallel, 2-arm randomized trial to compare an intervention group receiving <it>CHEST PAIN CHOICE </it>to a control group receiving usual ED care. Adults presenting to the Saint Mary's Hospital ED in Rochester, MN USA with a primary complaint of chest pain who are being considered for admission for prolonged ED observation in a specialized unit and urgent cardiac stress testing will be eligible for enrollment. We will measure the effect of <it>CHEST PAIN CHOICE </it>on six outcomes: (1) patient knowledge regarding their short-term risk for ACS and the risks of radiation exposure; (2) quality of the decision making process; (3) patient and clinician acceptability and satisfaction with the decision aid; (4) the proportion of patients who decided to undergo observation unit admission and urgent cardiac stress testing; (5) economic costs and healthcare utilization; and (6) the rate of delayed or missed ACS. To capture these outcomes, we will administer patient and clinician surveys after each visit, obtain video recordings of the clinical encounters, and conduct 30-day phone follow-up.</p> <p>Discussion</p> <p>This pilot randomized trial will develop and evaluate a decision aid for use in ED chest pain patients at low risk for ACS and provide a preliminary estimate of its effect on patient participation in decision-making and resource use.</p> <p>Trial registration</p> <p>Clinical Trials.gov Identifier: NCT01077037</p> |
| first_indexed | 2024-04-13T15:35:58Z |
| format | Article |
| id | doaj.art-e16db02cb904492c92130f50207f4d2c |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-13T15:35:58Z |
| publishDate | 2010-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-e16db02cb904492c92130f50207f4d2c2022-12-22T02:41:16ZengBMCTrials1745-62152010-05-011115710.1186/1745-6215-11-57The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency departmentBranda Megan EBreslin MaggieShah Nilay DKline Jeffrey AHess Erik PPierce Meghan APencille Laurie JAsplin Brent RNestler David MSadosty Annie TStiell Ian GTing Henry HMontori Victor M<p>Abstract</p> <p>Background</p> <p>Chest pain is a common presenting complaint in the emergency department (ED). Despite the frequency with which clinicians evaluate patients with chest pain, accurately determining the risk of acute coronary syndrome (ACS) and sharing risk information with patients is challenging. The aims of this study are (1) to develop a decision aid (<it>CHEST PAIN CHOICE</it>) that communicates the short-term risk of ACS and (2) to evaluate the impact of the decision aid on patient participation in decision-making and resource use.</p> <p>Methods/Design</p> <p>This is a protocol for a parallel, 2-arm randomized trial to compare an intervention group receiving <it>CHEST PAIN CHOICE </it>to a control group receiving usual ED care. Adults presenting to the Saint Mary's Hospital ED in Rochester, MN USA with a primary complaint of chest pain who are being considered for admission for prolonged ED observation in a specialized unit and urgent cardiac stress testing will be eligible for enrollment. We will measure the effect of <it>CHEST PAIN CHOICE </it>on six outcomes: (1) patient knowledge regarding their short-term risk for ACS and the risks of radiation exposure; (2) quality of the decision making process; (3) patient and clinician acceptability and satisfaction with the decision aid; (4) the proportion of patients who decided to undergo observation unit admission and urgent cardiac stress testing; (5) economic costs and healthcare utilization; and (6) the rate of delayed or missed ACS. To capture these outcomes, we will administer patient and clinician surveys after each visit, obtain video recordings of the clinical encounters, and conduct 30-day phone follow-up.</p> <p>Discussion</p> <p>This pilot randomized trial will develop and evaluate a decision aid for use in ED chest pain patients at low risk for ACS and provide a preliminary estimate of its effect on patient participation in decision-making and resource use.</p> <p>Trial registration</p> <p>Clinical Trials.gov Identifier: NCT01077037</p>http://www.trialsjournal.com/content/11/1/57 |
| spellingShingle | Branda Megan E Breslin Maggie Shah Nilay D Kline Jeffrey A Hess Erik P Pierce Meghan A Pencille Laurie J Asplin Brent R Nestler David M Sadosty Annie T Stiell Ian G Ting Henry H Montori Victor M The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department Trials |
| title | The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| title_full | The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| title_fullStr | The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| title_full_unstemmed | The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| title_short | The <it>Chest Pain Choice </it>trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| title_sort | it chest pain choice it trial a pilot randomized trial of a decision aid for patients with chest pain in the emergency department |
| url | http://www.trialsjournal.com/content/11/1/57 |
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