Psychosocial and Social Determinants of Health in Emergency Department Chest Pain Patients
Paul Musey, MD
Primary Investigator
Brief description of study
What is the purpose of this study?
The purpose of this study is to better understand how stress, anxiety, depression, and social challenges—like trouble affording food, housing, or transportation—affect people who come to the emergency department (ED) with chest pain. Many people with chest pain do not have serious heart problems, but stress and social difficulties may play a role in their symptoms and health.
Detailed description of study
What will happen during the study?
This is a non-interventional observational study. Participants will be asked to answer a short survey (about 10-15 minutes) while in the ED. The survey will ask about:
o Feelings of stress, anxiety, and depression using simple, standard questions.
o Any challenges they may be facing, such as difficulty paying for food, housing, or transportation.
o Physical symptoms that may be related to stress.
o Basic questions about health history and background.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Chest pain
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Age: 18 years - 100 years
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Gender: All
Inclusion:
• Adult ED patients (≥18yoa)
• Chief Complaint of chest pain or chest discomfort or similar
• Willing to participate and able to give written informed consent
Exclusion:
• Prior enrollment in the study
• Patients under involuntary detention for psychiatric assessment or prisoners
• Lack of decisional capacity to participate in informed consent as reported by the treating provider (e.g., active psychosis, hallucinations, intoxication, dementia, delirium, developmental delay, intoxication)
• Active suicidality as determined by clinician or disclosed during screening
• Clinical instability as judged by clinician
