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Can a simple score prevent unnecessary hospital stays for chest pain?

NCT ID NCT04580017

Completed Knowledge-focused Sponsor: University of Monastir Source: ClinicalTrials.gov ↗

First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time

Summary

This study tests whether a tool called the HEART score can accurately predict the risk of serious heart problems in people who come to the emergency room with chest pain. The HEART score uses medical history, EKG results, age, risk factors, and a blood test to classify patients as low or high risk. Researchers aim to see if using this score can help doctors avoid over-testing and unnecessary hospitalizations while still catching dangerous conditions. The study includes over 4,000 adults in Tunisia and tracks whether they experience a major heart event within 30 days.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to
If the HEART score proves accurate, it could help doctors quickly identify low-risk chest pain patients, reducing unnecessary hospitalizations and healthcare costs.
What could go wrong
The HEART score may not be as accurate in this population as in previous studies, and the study is observational, so it does not test a new treatment or intervention.

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Conditions

The condition(s) this trial relates to.

acute coronary syndrome coronary artery disorder Coronary Disease intermediate coronary syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

CORONARY DISEASE CORONARY SYNDROME MAJOR ADVERSE CARDIOVASCULAR EVENTS RISK FACTOR, CARDIOVASCULAR

Contacts and locations

Locations

  • Emergency department of university hospital Farhad Hached, Sousse

    Sousse, 4000, Tunisia

  • Emergency department of university hospital Fattouma Bourguiba of Monastir Monastir, Monastir Tunisia

    Monastir, 5000, Tunisia

  • Sahloul University Hospital

    Hammam Sousse, Sousse Governorate, 4011, Tunisia

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