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Current Status and Determinants of Care for Patients With Acute Chest Pain in China: A Retrospective Analysis of Data From the China Chest Pain Center Registry

NCT04014972 — Completed, 3000000 participants, China Cardiovascular Association
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RegistryNCT04014972
StatusCompleted
Study typeObservational
Enrollment3000000 (Estimated)
SponsorChina Cardiovascular Association (Other); collaborators: Peking University First Hospital, Shanghai Zhongshan Hospital, Peking University, Fudan University
ConditionsChest Pain Center, STEMI - ST Elevation Myocardial Infarction, NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI), Unstable Angina (UA), Aortic Dissection, Pulmonary Embolism
Datesstart 2015-01-01, primary completion 2021-12-31, completion 2021-12-31, first posted 2019-07-10, last updated 2026-07-16

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-Summary

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 6000 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 evaluation standards and quality control of chest pain centers.

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+Arms and interventions

ArmTypeInterventionsDescription
Patients with Myocardial Infarction

+Outcome measures

Primary outcomes

  • mean and standard deviation of STEMI (ST-segment elevated Myocardial Infarction)patients [baseline]: mean and standard deviation of STEMI patients
  • Proportion of STEMI (ST-segment elevated Myocardial Infarction)patients [baseline]: Proportion of female STEMI patients
  • emergency information of STEMI patients [baseline]: 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
  • admission status of STEMI patients [baseline]: admission status of STEMI patients
  • hospitalization evaluation of STEMI patients [baseline]: value of serum troponin and serum creatinin of STEMI patients
  • In-hospital mortality of STEMI patients [baseline]: In-hospital mortality of STEMI patients
  • Hospitalization days of STEMI patients [baseline]: Hospitalization days of STEMI patients
  • Total cost of STEMI patients [baseline]: Total cost of STEMI patients
  • admission status of acute aortic dissection patients [baseline]: admission status of acute aortic dissection patients
  • In-hospital mortality of acute aortic dissection patients [baseline]: In-hospital mortality of acute aortic dissection patients
  • Misdiagnosis rate of acute aortic dissection patients [baseline]: Misdiagnosis rate of acute aortic dissection patients
  • emergency information of acute aortic dissection patients [baseline]: Emergency treatment

+Eligibility

Sex: All, ages: 18 Years to any

Patients were included if they met the following criteria:

1. age ≥18 years;
2. either sex;
3. a definitive diagnosis of at least one of the following: acute coronary syndrome (STEMI, NSTEMI, or unstable angina), acute pulmonary embolism, or aortic dissection.

Exclusion Criteria:

* No

My Notes