A qualitative study of long term cardiovascular risk prediction in ED
Research type
Research Study
Full title
Qualitative study of potential barriers and solutions to long term cardiovascular risk prediction in the emergency department
IRAS ID
263325
Contact name
Richard Body
Contact email
Sponsor organisation
University of Manchester
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
One of the most common presentations to ED is chest pain, with the rapid rule out of heart attacks in the emergency department being common place. This moves a new onus of responsibility to the ED; the care of long term heart disease. A study conducted locally demonstrated that patient’s with a heart attack ruled out felt the ‘what next’ question is not answered sufficiently at present. The strength of this opportunity is re-enforced by studies suggesting that chest pain presents a teachable moment where patients are more accepting of advice.
We want to improve Manchester’s heart disease care (cardiovascular disease). Greater Manchester has one of the worst rates of heart disease for the United Kingdom, with double the national average for preventable heart disease deaths. The early warning signs for heart disease can be detected and treated enabling patients to live longer and healthier lives.
This is where we believe the Emergency Department can improve, we already collect the vast majority of data required to detect these early warning signs. With more than 23.8 million attendances nationally last year, ED is currently under-using a large amount of patient data of potentially great value to the population.
We are exploring the best way to use this long term heart disease prediction; how to communicate it to patients, who prescribes the necessary medication, who issues lifestyle advice, and who follows it up.
We intend to answer these questions with a series of semi-structured interviews. We will conduct initial semi-structured interviews made up of emergency medicine consultants, general practitioners, nurses, pharmacists and patients. Then building on the knowledge gained from the initial interviews we plan to conduct four semi-structured interviews of each aforementioned stakeholder group.
Funded by The Royal College of Emergency Medicine.
REC name
Wales REC 7
REC reference
19/WA/0312
Date of REC Opinion
7 Nov 2019
REC opinion
Further Information Favourable Opinion