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Completed No phase listed Observational Accepts healthy volunteers

Standardizing Emergency Work-ups Around Risk Data

ClinicalTrials.gov ID: NCT03286179

Public ClinicalTrials.gov record NCT03286179. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.

ClinicalTrials.gov public records Last synced Sep 5, 2026, 9:02 PM EDT

Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.

Official title

Standardizing Emergency Work-ups Around Risk Data (STEWARD): The CREST Network Chest Pain Project

Brief summary

Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.

Chest pain is the second leading reason for emergency department (ED) visits in the United States. Resource utilization for this ED subpopulation is particularly high, in part due to a dearth of accepted standardized clinical approaches and general overestimation of risk on the part of both providers and patients. This prospective observational cohort study seeks to address this issue by providing externally validated risk scores for major adverse cardiac events using a web-based clinical decision support platform (RISTRA) embedded within the electronic health record at 13 Kaiser Permanente Northern California (KPNC) EDs over a 12-month period. The decision support will provide risk estimates specific to the KPNC patient population. This studies hypothesis is that the provision of more accurate risk estimation for major adverse cardiac events will improve informed decision making by both providers and patients, resulting in less provocative testing and lower ED lengths of stay amongst low risk patients, as well as improving medical management among non-low risk patients and decreasing future rates of major adverse cardiac events.

Study identification

NCT ID
NCT03286179
Recruitment status
Completed
Study type
Observational
Phase
Not listed
Lead sponsor
Kaiser Permanente
Other
Enrollment
13,419 participants

Conditions and interventions

Eligibility (public fields only)

Age range
18 Years and older
Sex
All
Healthy volunteers
Accepts healthy volunteers

This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.

Study timeline

Start date
Jun 30, 2018
Primary completion
Dec 30, 2019
Completion
May 31, 2020
Last update posted
Aug 11, 2020

2018 – 2020

United States locations

U.S. sites
12
U.S. states
1
U.S. cities
11
Facility City State ZIP Site status
Kaiser Permanente Antioch Emergency Department Antioch California 94531
Kaiser Permanente Fremont Emergency Department Fremont California 94538
Kaiser Permanente Oakland Emergency Department Oakland California 94611
Kaiser Permanente Richmond Emergency Department Richmond California 94801
Kaiser Permanente Roseville Emergency Department Roseville California 95661
Kaiser Permanente South Sacramento Emergency Department Sacramento California 95823
Kaiser Permanente Sacramento Emergency Department Sacramento California 95825
Kaiser Permanente San Francisco Emergency Department San Francisco California 94115
Kaiser Permanente San Leandro Emergency Department San Leandro California 94577
Kaiser Permanente San Rafael Emergency Department San Rafael California 94903
Kaiser Permanente South San Francisco Emergency Department South San Francisco California 94080
Kaiser Permanente Walnut Creek Emergency Department Walnut Creek California 94596

Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.

About this trial record page

What this page shows
Public field values for ClinicalTrials.gov record NCT03286179, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
What this page does not do
No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
Where the data comes from
Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
Last refresh
Last update posted Aug 11, 2020 · Synced Sep 5, 2026

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Open the official record

The complete protocol, eligibility criteria, and contact information for NCT03286179 live on ClinicalTrials.gov.

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