The development of a decision support tool in the prehospital setting for acute chest pain – a study protocol for an observational study (BRIAN2) DOI Creative Commons

Elin Lökholm,

Carl Magnusson, Johan Herlitz

et al.

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, Journal Year: 2025, Volume and Issue: 33(1)

Published: Jan. 6, 2025

Abstract Introduction Chest pain is one of the most common reasons for contacting emergency medical services (EMS). It difficult EMS personnel to distinguish between patients suffering from a high-risk condition in need prompt hospital care and suitable non-conveyance. A vast majority with chest are therefore transported department (ED) further investigation even if not necessary. Improved prehospital assessment risk stratification, thus accurately safely identifying non-conveyance, could prevent unnecessary transport ED. This would reduce ED crowding overburdening sparse resources. also probably healthcare costs. Little known about use 5th generation, i.e. high-sensitivity troponin analyses. The aim this project develop an decision support tool using I patients. Methods analysis prospective, multicentre, cohort study including adult unselected pain. Data being collected 20 May 2023 31 December 2025, aiming include at least 2,000 High-sensitivity analysed bedside Siemens Healthineers Atellica VTLi. In addition I, data on patient history, onset, vital signs, symptoms, ECG diagnosis discharge. Several statistical analyses (random forest, logistic regression, gradient boosting) will be conducted identify best model low-risk conditions Ethics dissemination has been approved by Swedish Ethical Review Authority (Dnr 2022-01066-01 2022-06846-02). Patients informed both orally writing. results published peer-reviewed journal presented national and/or international conferences. Registration details registered ClinicalTrials.gov (NCT05767619).

Language: Английский

The development of a decision support tool in the prehospital setting for acute chest pain – a study protocol for an observational study (BRIAN2) DOI Creative Commons

Elin Lökholm,

Carl Magnusson, Johan Herlitz

et al.

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, Journal Year: 2025, Volume and Issue: 33(1)

Published: Jan. 6, 2025

Abstract Introduction Chest pain is one of the most common reasons for contacting emergency medical services (EMS). It difficult EMS personnel to distinguish between patients suffering from a high-risk condition in need prompt hospital care and suitable non-conveyance. A vast majority with chest are therefore transported department (ED) further investigation even if not necessary. Improved prehospital assessment risk stratification, thus accurately safely identifying non-conveyance, could prevent unnecessary transport ED. This would reduce ED crowding overburdening sparse resources. also probably healthcare costs. Little known about use 5th generation, i.e. high-sensitivity troponin analyses. The aim this project develop an decision support tool using I patients. Methods analysis prospective, multicentre, cohort study including adult unselected pain. Data being collected 20 May 2023 31 December 2025, aiming include at least 2,000 High-sensitivity analysed bedside Siemens Healthineers Atellica VTLi. In addition I, data on patient history, onset, vital signs, symptoms, ECG diagnosis discharge. Several statistical analyses (random forest, logistic regression, gradient boosting) will be conducted identify best model low-risk conditions Ethics dissemination has been approved by Swedish Ethical Review Authority (Dnr 2022-01066-01 2022-06846-02). Patients informed both orally writing. results published peer-reviewed journal presented national and/or international conferences. Registration details registered ClinicalTrials.gov (NCT05767619).

Language: Английский

Citations

1