Clinical Features, Treatment Mode and Health Outcomes of Chest Pain Patients in China (CHANGE)

Study Overview
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Brief Summary
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Chinese Cardiovascular Association is an association dedicated to establishing Chest Pain Centers in hospitals that have basic qualifications and meet pre-designed quality control targets.The vision of Chinese Cardiovascular Association is the cardiovascular health of every Chinese, and the mission is to realize the early arrival of the inflection point of cardiovascular events in China.The institute of China Heart House is responsible for the daily management and implementation of Chinese Cardiovascular Association and the implementation and management of the Chest Pain Center construction project.In order to improve standard treatment and chest pain system management to achieve better outcomes for patients, China Heart House established the chest pain center database.The database includes patients in 4129 registered hospitals in 31 provinces in China who have been admitted with chest pain.The database can reflect the clinical characteristics, treatment and outcome of patients with chest pain in China. This non-interventional, retrospective study analyzed the chest pain center database to understand the demographics, clinical characteristics, treatment patterns and clinical outcomes of patients with chest pain, and to analyze the effects of different treatment patterns, including chest pain centers and related collaborative treatment networks.The results of the study will assess the gap between the real-world situation and the recommendations of the guidelines and reflect the effect of chest pain centers and related collaborative treatment networks on the treatment process and service quality.The research results can be directly translated into the basis of medical treatment system intervention, and also provide decision-making reference for improving the certification standards and quality control of chest pain centers.

Official Title
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Clinical Features, Treatment Mode and Health Outcomes of Chest Pain Patients in China: China Chest Pain Center Accreditation Programme,CHANGE-chest Pain Research

Conditions
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Chest Pain Center, STEMI - ST Elevation Myocardial Infarction

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 18 and above patients admitted with chest pain diagnosis is made by the treating physician based on local practice and clinical judgment Exclusion Criteria: No

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with Myocardial Infarction<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mean and standard deviation of STEMI (ST-segment elevated Myocardial Infarction)patients | mean and standard deviation of STEMI patients | baseline | 
| Proportion of STEMI (ST-segment elevated Myocardial Infarction)patients | Proportion of female STEMI patients | baseline | 
| emergency information of STEMI patients | Path to hospital First medical contact time Does the patient circumvent emergency Telecardiogram transmission STEMI Reperfusion Therapy Initiation time of interventional surgery Catheter chamber activation time Time of arrival of patient in catheter room Guide wire passage time D2B time | baseline | 
| admission status of STEMI patients | admission status of STEMI patients | baseline | 
| hospitalization evaluation of STEMI patients | value of serum troponin and serum creatinin of STEMI patients | baseline | 
| In-hospital mortality of STEMI patients | In-hospital mortality of STEMI patients | baseline | 
| Hospitalization days of STEMI patients | Hospitalization days of STEMI patients | baseline | 
| Total cost of STEMI patients | Total cost of STEMI patients | baseline |