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

NCT ID NCT04580017

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

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

4,267 people

The number who actually took part.

Started

Jan 2015

Finished

Aug 2018

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Patients aged over 30 years admitted to the ED with typical chest pain with an EKG not showing STEMI.

Ages

30 years and older

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Any adult aged older than 30 years. * Chief complaint of ''chest pain'', ''chest tightness'', or ''chest pressure''. Exclusion Criteria: * Shortness of breath without chest pain * ST elevation myocardial infarction (STEMI) * Patients lost to follow up * Patients with obvious diagnosis made immediately after initial medical evaluation

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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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