Clinical Decision Support System to Define 30 Day Adverse Clinical Events for Emergency Department Acute Coronary Syndromes

Study Overview
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Brief Summary
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Acute coronary syndromes are among main complains for patients presenting to emergency department. Risk classification systems are used to classify patients to appropriate risks and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Detailed Description
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Acute coronary syndromes are among main complains for patients presenting to emergency department and create a burden to emergency departments and hospitals. Risk classification systems were developed and used to classify patients to appropriate risk groups. According to risk classification, different diagnosis and treatment modalities can be used and help physicians manage diagnosis strategies and treatments. Purpose of this study is to develop a clinical decision support system for patients presenting to emergency department with the help of statistical machine learning.

Official Title
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Development of Clinical Decision Support System to Define 30 Day Adverse Clinical Events (Non Fatal Myocardial Infarction, Cardiac Related Death or Coronary Intervention) for Patients Presenting to Emergency Department With Acute Coronary Syndrome

Conditions
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Acute Coronary Syndrome, Clinical Decision Support System

Intervention / Treatment
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* Diagnostic Test: Further cardiac imaging


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Presenting to emergency department with acute chest pain consistent with acute coronary syndrome Exclusion Criteria: Patients with less than 18 years old Patients presenting with ST-segment elevation myocardial infarction Patients presenting with other causes of acute chest pain (pneumothorax, pulmonary -embolism, aortic dissection Decline to participate in study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients presenting with acute coronary syndrome<br>Patients presenting to emergency department with acute coronary syndrome | Diagnostic Test: Further cardiac imaging<br>* Study patients will be reviewed whether they will have coronary interventions in 30 days<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Non fatal myocardial infarction, cardiac related death or coronary intervention in 30 days | Patients will be screened for 30 days for Non fatal myocardial infarction, cardiac related death or coronary intervention (coronary angiogram, coronary artery bypass surgery) | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acute coronary syndrome, risk classification, 30 day adverse event, clinical decision support system