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Tele-Electrocardiography in Emergency Cardiac Care
This study is ongoing, but not recruiting participants.
First Received: January 2, 2004   Last Updated: January 21, 2009   History of Changes
Sponsored by: National Institute of Nursing Research (NINR)
Information provided by: National Institute of Nursing Research (NINR)
ClinicalTrials.gov Identifier: NCT00075088
  Purpose

The purpose of this study is to see whether individuals who access the "911" emergency medical system with a heart attack or severe chest pain will receive more timely hospital treatment and better outcomes if hospital clinicians are provided with earlier and more complete electrocardiography (ECG) information.


Condition Intervention Phase
Myocardial Infarction
Chest Pain
Device: Electrocardiogram (ECG) Intervention
Other: Routine Clinical Practice
Phase III

MedlinePlus related topics: Chest Pain Heart Attack
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Official Title: Tele-Electrocardiography in Emergency Cardiac Care

Further study details as provided by National Institute of Nursing Research (NINR):

Primary Outcome Measures:
  • Hospital time to treatment for patients with acute myocardial infarction [ Time Frame: Varied, monitored over 5 year span ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Rehospitalization and Mortality [ Time Frame: over 5 year span ] [ Designated as safety issue: No ]

Estimated Enrollment: 2468
Study Start Date: September 2003
Estimated Study Completion Date: June 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Device: Electrocardiogram (ECG) Intervention
Pre-hospital electrocardiographic (ECG) monitoring with special software to detect myocardial ischemia and to automatically transmit an ECG to the destination hospital emergency department with a voice alarm announcing "Incoming ECG from the field" and print out in the ED.
2: Active Comparator Other: Routine Clinical Practice
ECG in the ED as part of routine clinical practice.

Detailed Description:

This is a Phase III study. Patients will be randomized (like tossing a coin) to 1 of 2 groups: Group 1: Patients will have pre-hospital ECG intervention. Group 2: Patients will have routine emergency heart care. Information will be collected about time symptoms started, clinical management, and other measures. All patients will be contacted by telephone 12 months later and interviewed as to whether they experienced any cardiac symptoms.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All individuals in Santa Cruz County in California who call 911 and are judged to have a heart attack or severe chest pain.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00075088

Locations
United States, California
University of California San Francisco
San Francisco, California, United States, 94143
Sponsors and Collaborators
Investigators
Principal Investigator: Barbara J Drew, RN, PhD, FAAN University of California, San Francisco
  More Information

No publications provided

Responsible Party: University of California San Francisco ( Barbara J. Drew RN, PhD, FAAN; Professor of Nursing & Clinical Professor of Medicine )
Study ID Numbers: 1R01NR007881-01A2
Study First Received: January 2, 2004
Last Updated: January 21, 2009
ClinicalTrials.gov Identifier: NCT00075088     History of Changes
Health Authority: United States: Federal Government;   United States: Food and Drug Administration

Keywords provided by National Institute of Nursing Research (NINR):
Telemedicine
Emergency Care
Cardiac

Study placed in the following topic categories:
Signs and Symptoms
Necrosis
Heart Diseases
Myocardial Ischemia
Vascular Diseases
Emergencies
Pain
Ischemia
Infarction
Myocardial Infarction
Chest Pain

Additional relevant MeSH terms:
Disease Attributes
Heart Diseases
Myocardial Ischemia
Vascular Diseases
Pain
Ischemia
Chest Pain
Signs and Symptoms
Necrosis
Pathologic Processes
Emergencies
Cardiovascular Diseases
Infarction
Myocardial Infarction

ClinicalTrials.gov processed this record on May 06, 2009