Diagnostic and safety of a nursing pathway for the management of non-traumatic chest pain
Diagnostic and safety of a nursing pathway for the management of non-traumatic chest pain: trained nurses will take in charge non-traumatic chest pain patient according to the standardized algorithm based on the recommendations .
Study summary
Chest pain is a commonly encountered presentation in the emergency department (ED), with an incidence ranging from 5 to 12%. Chest pain has a wide range of aetiologies from the mildest to the most severe. In benign forms these pains can be musculoskeletal, psychogenic or even indeterminate (\>60% depending on the place of recruitment). Coronary aetiology represents 12 to 25% of severe forms.
The management of chest pain in the emergency department is part of the daily life of nurses. According to the french 2020 Nurse Reception Organizer (IOA) guidelines, a nurse who has been trained for this role is required to "triage" (severity grade and orientation) patients presenting for this reason. The presence of specialized nurses in the management of chest pain allows faster initial management.
To date, no study has been conducted to assess the diagnostic and treatment performance of a nursing pathway for the management of patients presenting with acute chest pain regardless of the suspected diagnosis and not only acute coronary syndrome.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Admission to emergency department (ED) for non-traumatic Chest Pain
* Affiliation to the French social security system
* Written informed consent must be obtained
* For women of childbearing age: effective contraception in place for at least 3 months. The absence of pregnancy should be confirmed by a negative urine test without delaying the start of the management including the realization of Electrocardiogram (EKG/ECG).
Exclusion Criteria:
* Suspected alcohol, drug or toxic intoxication
* Chest pain with associated neurological signs
* Patient with pacemaker or defibrillator
* Patient in vital distress requiring immediate medical intervention
* Patient admitted with a previously established aetiological diagnosis
* Unable to communicate or non-french speaking patients or those with impaired comprehension or consciousness
* Pregnant or breast-feeding patients
* Subject under administrative or judicial control, under protection
Primary outcome measure(s)
Rate of patients who benefited from a diagnosis and overall management in accordance with medical recommendations in the paramedical group compared with usual medical care. — 30 days Rate of patients who benefited from a diagnosis and overall management in accordance with medical recommendations in the paramedical group compared with usual medical care after adjudication by an expert committee.
Trial sites (1)
Facility
City
Region
Status
CHU Grenoble Alpes
Grenoble
Grenoble
Recruiting
More University Hospital, Grenoble trials in France
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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