Strategic planning process for use of Point Of Care Testing (POCT)

• Research type

  Research Study

• Full title

  Strategic Planning Process for the use of Point of Care Testing for Low Risk Chest Pain Patients

• IRAS ID

  161962

• Contact name

  ANSER MAHMOOD

• Contact email

  anser.mahmood@wwl.nhs.uk

• Sponsor organisation

  wrightington wigan and leigh nhs trust

• Research summary

  1. THE STUDY WILL AIM TO IDENTIFY HIGH RISK PATIENTS WITH ACUTE CORONARY SYNDROME (ACS) & ADMIT UNDER MEDICINE ACCORDINGLY
  2. THE STUDY WILL USE POC TESTING TOGETHER WITH RISK STRATIFICATION TO IDENTIFY LOW RISK PATIENTS & RULE OUT ACS WITHIN 90 MINUTES, ENABLING DISCHARGE FOR THIS GROUP OF PATIENT

  PATIENTS WITH SYMPTOMS OF CHEST PAIN ACCOUNT FOR 700,000 VISITS TO HOSPITAL EMEGENCY DEPARTMENTS IN ENGLAND & WALES EVERY YEAR.

  APPROXIMATELY 80-90% OF THESE PATIENTS ARE EVENTUALLY DIAGNOSED WITH A NON-CARDIAC CAUSE FOLLOWING ASSESSMENT. STANDARD CLINICAL DIAGNOSTIC METHODS ARE PROBLEMATIC, WITH LENGTHY ASSESSMENT PERIODS OF THIS COHORT CONTRIBUTING TO OVERCROWDING AND DELAYED CARE IN THE EMERGENCY DEPARTMENT.
  
  WITHIN THE LAST DECADE, TROPONIN ASSAYS HAVE BECOME AVAILABLE FOR USE AT THE PATIENTS’ BEDSIDE IN POINT-OF-CARE (POC) DEVICES. THESE DEVICES ALLOW SHORTER REAL-TIME RESULTS TO BE AVAILABLE TO CLINICIANS IN COMPARISON TO LAB-BASED ASSAYS.

• REC name

  South West - Central Bristol Research Ethics Committee

• REC reference

  14/SW/1098

• Date of REC Opinion

  17 Sep 2014

• REC opinion

  Unfavourable Opinion