Low-Risk Chest Pain Echo Study

Study Overview
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Brief Summary
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Pilot study to assess if a bedside point-of-care echocardiogram performed on emergency department patients identified as low-risk chest pain prior to discharge significantly changes patient disposition or follow up instructions.

Official Title
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The Impact of Point-of-Care Ultrasound Echocardiography on the Disposition of Low-Risk Chest Pain Patients in the Emergency Department

Conditions
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Chest Pain

Intervention / Treatment
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* Diagnostic Test: Point-of-Care Echocardiogram


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults presenting to the emergency department with an isolated chief complaint of chest pain with a HEART score of 3 or less Emergency physician of record has decided to discharge this patient from the Emergency Department Exclusion Criteria: Patients who are unable to consent for themselves History of cardiac transplant or LVAD Pediatric patients Patients presenting with multiple complaints in addition to chest pain Echocardiogram already performed on patient during usual care Patients with another non-cardiac admittable diagnosis HEART score greater than or equal to 4

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Echo Arm<br>Chest pain patients identified by their treating physician as being low-risk chest pain will undergo a point-of-care echocardiogram performed by a trained emergency medicine attending or resident prior to discharge from the emergency department. The physician of record will review this ultrasound and it will be documented whether the findings on the ultrasound changed the physician of record's disposition decision for the patient or the follow up instructions or medications. | Diagnostic Test: Point-of-Care Echocardiogram<br>* Four view ultrasound of the heart performed at the bedside by trained emergency medicine physicians.<br>|
| No Intervention: Usual Care<br>Chest pain patients identified by their treating physician as being low-risk chest pain will receive the usual care for their condition. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disposition | Will assess if the result of the point-of-care echocardiogram resulted in the physician of record changing subject disposition from discharge to admission. We will assess this by asking the physician of record what the disposition plan is for the patient and recording their answer on IRB approved data collection sheet. | Day of enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Follow up instructions | Will assess if the result of the point-of-care echocardiogram changed the follow up instructions or discharge medication decision for the enrolled subject as determined by the physician of record by asking them if the echo results caused them to add any additional discharge instructions for the patient. We will record their answer on the IRB approved data collection sheet. | day of enrollment |