Are the American College of Cardiology/Emergency Cardiac Care (ACC/ECC) guidelines useful in triaging patients to telemetry units?

Acute Cardiac Care

Volumn 8, Issue 3, 2006, Pages 155-160

  Tiongson, Jay ^a   Robin, Jason ^a   Chana, Amar ^a   Shin, David D ^a   Gheorghiade, Mihai ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Admission criteria; Cardiovascular diseases; Electrocardiography; Telemetry

Indexed keywords

ADULT; AGED; AMERICAN COLLEGE OF CARDIOLOGY; ARTICLE; CARDIOLOGIST; DISEASE CLASSIFICATION; ELECTROCARDIOGRAM; EMERGENCY CARDIAC CARE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; FEMALE; HEART ARRHYTHMIA; HEART VENTRICLE FIBRILLATION; HEART VENTRICLE TACHYCARDIA; HOSPITAL ADMISSION; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MALE; MEDICAL SOCIETY; PATIENT CODING; PATIENT MONITORING; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROSPECTIVE STUDY; TELEMETRY; THORAX PAIN; UNIVERSITY HOSPITAL;

ARRHYTHMIA; ARRHYTHMIAS, CARDIAC; CARDIOLOGY; CHEST PAIN; CORONARY CARE UNITS; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; GUIDELINE ADHERENCE; HOSPITALS, UNIVERSITY; HUMANS; ILLINOIS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PATIENT ADMISSION; PRACTICE GUIDELINES; PRACTICE GUIDELINES AS TOPIC; PROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SOCIETIES, MEDICAL; TELEMETRY; TRIAGE;

EID: 33749503404     PISSN: 17482941     EISSN: 1748295X     Source Type: Journal    
DOI: 10.1080/17482940600934192     Document Type: Article

References (28)

1. Lee TH, Goldman L. The coronary care unit turns 25: historical trends and future directions. Ann Intern Med. 1988;108:887-94.
2. Day HW. History of coronary care units. Am J Cardiol. 1972;30:405-7.
3. Grijseels EW, Deckers JW, Hoes AW, et al. Optimal use of coronary care units: a review. Prog Cardiovasc Dis. 1995;6:415-21.
4. Fineberg HV, Scadden D, Goldberg L, et al. Care of patients with low probability of acute myocardial infarction. Cost effectiveness of alternatives to coronary care admission. N Engl J Med. 1984;310:1301-7.
5. Pozen MW, D'Agostino RB, Mitchell JB, et al. The usefulness of a predictive instrument to reduce inappropriate admissions to the coronary care unit. Ann Intern Med. 1980;92:238-42.
6. Goldman L, Weinberg M, Weisberg M, et al. A computer derived protocol to aid in the diagnosis of emergency room patients with chest pain. N Engl J Med. 1982;307:588-96.
7. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in the emergency department with chest pain. N Engl J Med. 1988;318:797-803.
8. Tosteson AN, Goldman L, Udvarhelyi IS, Lee TH. Cost-effectiveness of a coronary care unit versus an intermediate care unit for emergency department patients with chest pain. Circulation. 1996;94:143-50.
9. Calvin JE, Klein L, VandenBerg E, Parrillo JE. The intermediate CCU admission: a preliminary study. Heart Dis. 200;3:18-23.
10. Weingarten S, Ermann B, Bolus R, Riedinger MS, Rubin H, Green A, et al. Early "step-down" transfer of low-risk patients with chest pain. A controlled interventional trial. Ann Intern Med. 1990;113:283-9.
11. Frieden J, Cooper JA. The role of the intermediate cardiac care unit. JAMA. 1976;235:816-8.
12. Leak D, Eydt JN. An assessment of intermediate coronary care. Arch Intern Med. 1982;142:1794-5.
13. Gorfinkel HJ, Kercher L, Lindsay J. Electrocardiographic radiotelemetry in the early recuperative period of acute myocardial infarction. Its value in detecting arrhythmias in the setting of a progressive coronary care unit. Chest. 1976;69:158-63.
14. Turkie W, Brown AK. The use of radiotelemetry after discharge from the coronary care unit. J R Coll Physicians Surg Lond. 1990;24:277-80.
15. Reynell PC. Intermediate coronary care. A controlled trial. Br Heart J. 1975;37:166-8.
16. Graboys TB. In-hospital sudden death after coronary care unit discharge. Arch Intern Med. 1975;135:512-4.
17. Weinberg SL. Intermediate coronary care unit. Observations on the validity of the concept. Chest. 1978;73:54-7.
18. Weinberg SL. The intermediate coronary care unit. A promise unfulfilled [editorial]. Arch Intern Med. 1982;142:1794-5.
19. Hollander JE, Sites FD, Pollack CV Jr, Shofer FS. Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest pain. Ann Emerg Med. 2004;43:71-6.
20. Estrada CA, Rosman HS, Prasad NK, et al. Role of telemetry monitoring in the on-intensive care unit. Am J Cardiol. 1995;76:960-5.
21. Emergency Cardiac Care Committee. Recommended guidelines for in-hospital cardiac monitoring of adults for detection of arrhythmias. J Am Coll Cardiol. 1991;18:1431-33.
22. Drew B, et al. Practice Standards for Electrocardiographic Monitoring in Hospital Settings. Circulation. 2004;110:2721-46.
23. Estrada CA, Rosman HS, Prasad HS, et al. Evaluation of guidelines for the use of telemetry in the non-intensive-care setting. J Gen Intern Med. 2000;15:51-5.
24. Sivaram CA, Summers JH, Ahmed N. Telemetry outside critical care units: patterns of utilization and influence on management decisions. Clin Cardiol. 1998;21:503-5.
25. Gomberg-Maitland M, Murphy SA, Moliterno DJ, Cannon CP. Are we appropriately triaging patients with unstable angina? Am Heart J. 2005;149:613-8.
26. Selker HP, Beshansky JR, Griffith JL, Aufderheide TP, Ballin DS, Bernard SA, et al. Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. A multicenter, controlled clinical trial. Ann Intern Med. 1998;129:845-55.
27. Snider A, Papaleo M, Beldner S, Park C, Katechis D, Galinkin D, et al. Is telemetry monitoring necessary in low-risk suspected acute chest pain syndromes? Chest. 2002;122:517-23.
28. Durairaj L, Reilly B, Das K, et al. Emergency department admissions to inpatient cardiac telemetry beds: A prospective cohort study of risk stratification and outcomes. Am J Med. 2001;110:7-11.