Unique ID issued by UMIN | UMIN000017903 |
---|---|
Receipt number | R000017193 |
Scientific Title | Acute Chest Pain Registry |
Date of disclosure of the study information | 2015/06/15 |
Last modified on | 2015/06/15 13:01:05 |
Acute Chest Pain Registry
Acute Chest Pain Registry
Acute Chest Pain Registry
Acute Chest Pain Registry
Japan |
Patients referred to the emergency department for acute chest pain
Cardiology | Emergency medicine |
Others
NO
To stratify the patient risk of acute chest pain with them measurement of d-dimer levels
Efficacy
Confirmatory
Pragmatic
Not applicable
final diagnosis of acute aortic dissection
the composite endpoint of acute coronary sundrome, aortic dissection, and pulmonary embolism
Observational
Not applicable |
Not applicable |
Male and Female
patients referred to the emergency department for acute chest pain
discharge patients before admission
death patients before admission
patients referred to other hospital
1000
1st name | |
Middle name | |
Last name | Toyofuku Mamoru |
Wakayama Medical Center
Cardiology
4-20 Komatsubara street Wakayama City
073-422-4171
matoyofuku-circ@umin.ac.jp
1st name | |
Middle name | |
Last name | Mamoru Toyofuku |
Wakayama Medical Center
Cardiology
4-20 Komatsubara street Wakayama City
073-422-4171
matoyofuku-circ@umin.ac.jp
Japanese Red Cross Society Wakayama Medical Center
none
Other
NO
2015 | Year | 06 | Month | 15 | Day |
Unpublished
Measurement of D-dimer was usefule rule out tool for the manegiment of patients presenting acute chest pain.
Completed
2014 | Year | 07 | Month | 01 | Day |
2014 | Year | 07 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2015 | Year | 06 | Month | 15 | Day |
The D-dimer level was obviously increased in patients with acute aortic syndrome as compared with control patients (Median 4.9 micro-g/dl, IQR 2.0-17.4 vs. 0.6 0.3-1.4, p<0.001). With the cutoff point of 0.5 micro-g /ml, the specificity of acute aortic syndrome with 0.97 (95% confidence interval 0.92-0.99) and was similar to that of acute pulmonary embolism (0.97, 0.82-0.99). The age adjusted D-dimer cutoff point, defined as age x 0.01micro-g /ml in patients 50 years or older, successfully reduced 13 percent of false-positive cases while retaining a high sensitivity of 0.96(0.91-0.99).
2015 | Year | 06 | Month | 15 | Day |
2015 | Year | 06 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017193