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Huisarts HART Week


- candidate number28154
- NTR NumberNTR6789
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR7-nov-2017
- Secondary IDsMETC 17N119
- Public TitleHuisarts HART Week
- Scientific TitleGeneral Practice Heart Week - a prospective flashmob study to validate prediction rule(s) for suspected acute coronary syndrome in general practice
- ACRONYM
- hypothesis
- Healt Condition(s) or Problem(s) studiedAngina Pectoris, Acute coronary syndrome (ACS), Prediction rule
- Inclusion criteriaPatients in whom the GP suspects an acute coronary syndrome (instable angina or myocardial infarction) and who the GP urgently refers to the cardiologist
- Exclusion criteriaPatients unable to understand the Dutch language (to give consent to register their symptoms)
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- group[default]
- Type[default]
- Studytypeobservational
- planned startdate 20-nov-2017
- planned closingdate26-nov-2017
- Target number of participants300
- InterventionsNo intervention. GPs are asked to register a small set of variables for each patient they refer to the cardiologist with the suspicion of ACS:
- Age
- Gender
- Duration of symptoms
- Attending GP suspected a serious diagnosis
- history of coronary artery disease
- pain brought on by exertion
- pain feels like "pressure"
- pain reproducible by palpation
- the patient suspects a cardial origin of symptoms
- ischaemic sign on ECG
- the probability of ACS in this patient as estimated by the attending GP on a scale of 1-10.
Items are based on the Marburg Heart Score and promising items as shown in Aerts et al. 2017 Journal of Clinical Epidemiology.
- Primary outcomeThe number of referred patients with the final diagnosis acute coronary syndrome (defined as instable angina or acute myocardial infarction) on the total of referred patients. We will use a logistic regression model in which we will determine the best independent variables as predictors for the dependent variable of ACS. diagnosis
- Secondary outcomeFinal diagnosis will be obtained by asking the GP using only 2 questions, one asking the final diagnosis (ACS, other cardiac diagnosis, other) and one asking about (possible) mortality (and underlying diagnosis).
- TimepointsThis is a flashmob prospective study of only one week. All Dutch GPs can register patients. Recruitment will only last 7 days, 24 hours a day. Patients can be registered during normal practice hours and during out-of-hours shifts.
- Trial web sitewww.huisartshartweek.nl
- statusplanned
- CONTACT FOR PUBLIC QUERIES Jochen Cals
- CONTACT for SCIENTIFIC QUERIES Jochen Cals
- Sponsor/Initiator Maastricht University
- Funding
(Source(s) of Monetary or Material Support)
ZonMw
- Publicationshttps://www.ntvg.nl/artikelen/flashmob-onderzoek-naar-beslisregel-voor-acuut-coronair-syndroom
https://www.henw.org/archief/id13125-nieuw-flashmobonderzoek-huisarts-hart-week.html
- Brief summary
- Main changes (audit trail)
- RECORD7-nov-2017 - 17-nov-2017


  • Indien u gegevens wilt toevoegen of veranderen, kunt u een mail sturen naar nederlands@trialregister.nl