3,666
Participants
Start Date
July 31, 2013
Primary Completion Date
October 31, 2014
Study Completion Date
March 31, 2015
usual care
During 14 months, patients presenting with chest pain to the ED of participating hospitals will be included in the study. First, all hospitals will apply 'usual care' to all patients, i.e. risk assessment and subsequent management without application of the HEART score. Then, during a 14 month period, each 1,5 month 1 randomly allocated hospital will sequentially start to apply the HEART score in all chest pain patients (intervention period); during this intervention period patients with a HEART score 0-3 will not be admitted to the hospital, and patients with a HEART score above 3 will be treated according to current guidelines.
use of HEART risk score
During 14 months, patients presenting with chest pain to the ED of participating hospitals will be included in the study. First, all hospitals will apply 'usual care' to all patients, i.e. risk assessment and subsequent management without application of the HEART score. Then, during a 14 month period, each 1,5 month 1 randomly allocated hospital will sequentially start to apply the HEART score in all chest pain patients (intervention period); during this intervention period patients with a HEART score 0-3 will not be admitted to the hospital, and patients with a HEART score above 3 will be treated according to current guidelines.
Amstelland Hospital, Amstelveen
VU Medical Center, Amsterdam
Gelderse Vallei, Ede
Catharina Hospital, Eindhoven
Atrium Medical Center, Heerlen
St. Antonius Hospital, Nieuwegein
Diakonessenhuis, Utrecht
University Medical Center, Utrecht
Zuwe Hofpoort, Woerden
ZonMw: The Netherlands Organisation for Health Research and Development
OTHER
UMC Utrecht
OTHER