A Randomized Trial of Telemetry Compared With Unmonitored Floor Admissions in ED Patients With Low-Risk Chest Pain

Withdrawn before enrolling · Not applicable

Conditions studied: Telemetry Usage, Chest Pain, Unstable Angina, Resource Utilization

In brief

This study aims to determine, relative to telemetry admission, if admission to an unmonitored floor bed saves resources without an increased rate of adverse events in emergency department (ED) patients admitted with chest pain and low-risk features.

Key facts

Study ID

NCT03906812

Run by

Vanderbilt University Medical Center

People needed

0

Starts

2020-09-01

Expected to finish

2022-05-01

Last updated by the study team

2019-11-13

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adult ED patients admitted to the medical service at Vanderbilt University Medical Center with chest pain and low-risk clinical features.

You may not qualify if…

• Age less than 18 years
• Chest pain patients admitted to the ICU
• Patients with sickle cell disease
• Chest pain patients with high-risk electrocardiogram (ECG) criteria:
• abnormal but non-diagnostic of myocardial ischemia (prolonged PR, QRS, QTc intervals, new bundle branch blocks, left ventricular hypertrophy with strain)
• ischemia or prior infarction
• suggestive of acute myocardial infarction
• A positive troponin at any time during the current evaluation (above the 99 percent reference limit, greater than 0.03 nanograms per milliliter)
• Patients whom the admitting team feels has another non-low-risk indication for telemetry (e.g. acute heart failure, syncope with features concerning for a cardiac etiology, other arrhythmia)

Where it is running

• Vanderbilt University Medical Center — Nashville, Tennessee, United States

Full record on ClinicalTrials.gov

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