The Acute Coronary Syndrome Study

Study Overview
=================
Brief Summary
-----------------
The investigators will make a prospective study in which they will look at the economics and security of the treatment of patients with acute coronary syndrome. The investigators want to do a randomized trial. One group will be treated as they have been treated at Ullevål University Hospital (UUS) in recent years, and the other group will be returned to their refering hospital the same day. The objective of this study will be to provide increased knowledge about whether the rapid discharge from the intervention center is associated with differences in costs or security.

Detailed Description
-----------------
The topic of this study is whether patients with Acute coronary syndrome (ACS)may can be transferred to their refering hospital same day that they arrived intervention hospital. This is to see if one can reduce the hospital stay and costs for the intervention center, and the total hospitalization time. and this rapid transport not give more medical complications Our 1 hypothesis is that patients with ACS, who are transported back to the refering hospital the same day, will reduce the length of stay in intervention center without an increase for the stay at the refering hospital. Our 2 hypothesis is that patients with ACS, who are transported back to the refering hospital the same day as the treatment is performed, have no more complications than those who stay overnight in the intervention hospital.

Official Title
-----------------
The Acute Coronary Syndrome Study. Organization and Treatment of Patients With Acute Coronary Syndrome, With a Focus on Costs, Organization and Security

Conditions
-----------------
Acute Coronary Syndrome

Intervention / Treatment
-----------------
* Other: Early discharge
* Other: Care as usual. No intervention. (Control group)


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: All patients with acute coronary syndrome who are referred from other hospitals Exclusion Criteria: Patients younger than 18years. Known mental retardation, dementia or harmful use of alcohol or drugs. Allergy or intolerance to ASA and / or clopidogrel. Patients who have previously been involved in this study. Acute STEMI infarction for less than 72 hours ago.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1 Fast Track Group<br>The patients are discharged the same day after coronary angiography to the refering Hospital | Other: Early discharge<br>* The patients are discharged the same day as coronary angiography.<br>|
| Active Comparator: Group 2: Ordinary care<br>Ordinary Cardiology care in the Intervention hospital | Other: Care as usual. No intervention. (Control group)<br>* The patients are admitted and cared as usual in cardiology ward.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost effectiveness. Adverse medical events |  | 30 days and a year's events | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SF-36 |  | One year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Cost analysis, Safety, Length of stay, Randomized controlled trials, Early discharge