Referral decisions based on a prehospital HEART score in suspected non-ST-elevation acute coronary syndrome: design of the FamouS Triage 3 study

D.N. van Dongen, R.T. Tolsma, M.J. Fokkert, E.A. Badings, A. van der Sluis, R.J. Slingerland, A.W.J. van 't Hof, E. van 't Riet, J.P. Ottervanger*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)

Abstract

Background: It is not yet investigated whether referral decisions based on prehospital risk stratification of non-ST-elevation Acute Coronary Syndrome (NSTE-ACS) by the complete History, ECG, Age, Risk factors and initial Troponin (HEART) score are feasible and safe. Hypothesis: Implementation of referral decisions based on the prehospital acquired HEART score in patients with suspected NSTE-ACS is feasible and not inferior to routine management in the occurrence of major adverse cardiac events within 45 days. Study design & methods: FamouS Triage 3 is a feasibility study with a before-after sequential design. The aim is to assess whether prehospital HEART-score management including point-of-care troponin measurement is feasible and noninferior to routine management. Primary end point is the occurrence of major adverse cardiac events within 45 days. Conclusion: If referral decisions based on prehospital acquired risk stratification are feasible and noninferior this can become the new prehospital management in suspected NSTE-ACS.
Original languageEnglish
Pages (from-to)217-226
Number of pages10
JournalFuture Cardiology
Volume16
Issue number4
DOIs
Publication statusPublished - 1 Jul 2020

Keywords

  • CHEST-PAIN
  • DIAGNOSIS
  • EMERGENCY-DEPARTMENT
  • EXPENDITURE
  • GROWTH
  • HEART score
  • INTERVENTIONS
  • MANAGEMENT
  • MYOCARDIAL-INFARCTION
  • NSTEMI
  • SENSITIVITY
  • TROPONIN-T
  • chest pain
  • heart score
  • nstemi
  • paramedics
  • risk stratification
  • RISK

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