Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety

Critical Pathways in Cardiology

Volumn 9, Issue 1, 2010, Pages 30-34

  Siebens, Kaat ^a   Miljoen, Hielko ^a   Fieuws, Steffen ^b   Drew, Barbara ^c   De Geest, Sabina ^d,e   Vrints, Christiaan ^a  

^a ANTWERP UNIVERSITY HOSPITAL   (Belgium)

^b KU LEUVEN   (Belgium)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF LEUVEN   (Belgium)

^e UNIVERSITY OF BASEL   (Switzerland)

Author keywords

Anxiety; Chest pain unit; Length of stay; Patient satisfaction

Indexed keywords

ACUTE CORONARY SYNDROME; ADULT; ANXIETY; ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH CARE QUALITY; HEART DISEASE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSYCHOLOGIC ASSESSMENT; THORAX PAIN;

AGED; ANXIETY; CHEST PAIN; CHI-SQUARE DISTRIBUTION; CRITICAL PATHWAYS; FEMALE; GUIDELINE ADHERENCE; HUMANS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT SATISFACTION; QUALITY OF HEALTH CARE; QUESTIONNAIRES; RISK FACTORS; STATISTICS, NONPARAMETRIC;

EID: 77949436251     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0b013e3181d24549     Document Type: Article

References (30)

1. Bahr RD, Copeland C, Strong J. Chest pain centers-part 4. Executive summary: issues with APC's and observation services. J Cardiovasc Manag. 2002;13:26-33.
2. Erhardt L, Herlitz J, Bossaert L, et al. Task force on the management of chest pain. Eur Heart J. 2002;23:1153-1176.
3. Anderson JL, Adams CD, Antman EM, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing Committee to revise the 2002 guidelines for the management of patients with unstable angina/non ST-elevation myocardial infarction): developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons: endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. Circulation. 2007;116:e148-e304.
4. Bassand JP, Hamm CW, Ardissino D, et al. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes. Eur Heart J. 2007;28:1598-1660.
5. Bassand JP, Priori S, Tendera M. Evidence-based vs. 'impressionist' medicine: how best to implement guidelines. Eur Heart J. 2005;26:1155-1158.
6. Bahr RD, Copeland C, Strong J. Chest pain centers-part 3. Evaluation in the hospital ED or chest pain center (CPC). J Cardiovasc Manag. 2002;13:23-25.
7. Every NR, Hochman J, Becker R, et al. Critical pathways: a review. Committee on Acute Cardiac Care, Council on Clinical Cardiology, American Heart Association. Circulation. 2000;101:461-465.
8. Rydman RJ, Zalenski RJ, Roberts RR, et al. Patient satisfaction with an emergency department chest pain observation unit. Ann Emerg Med. 1997; 29:109-115.
9. Richards CR, Richell-Herren K, Mackway-Jones K. Emergency management of chest pain: patient satisfaction with an emergency department based six hour rule out myocardial infarction protocol. Emerg Med J. 2002;19:122-125.
10. Frazier SK, Moser DK, Daley LK, et al. Critical care nurses' beliefs about and reported management of anxiety. Am J Crit Care. 2003;12:19-27.
11. Chou SC, Boldy D. Patient perceived quality-of-care in hospital in the context of clinical pathways: development of an approach. J Qual Clin Pract. 1999;19:89-93.
12. Bartholomew DJ, Steele F, Moustaki I, et al. The Analysis and Interpretation of Multivariate Data for Social Scientists. Boca Raton, FL: Chapman and Hall/CRC; 2002.
13. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-370.
14. Parsons LS. Reducing bias in a propensity score matched-pair sample using greedy matching techniques. Paper presented at: Proceedings of the 26th Annual SAS Users Group (SUGI Proceedings). Seattle, WA: Ovation Research Group; 2004:214-226.
15. Goodacre SW. Should we establish chest pain observation units in the UK? A systematic review and critical appraisal of the literature. J Accid Emerg Med. 2000;17:1-6.
16. Quin G. Chest pain evaluation units. J Accid Emerg Med. 2000;17:237-240.
17. Doherty RJ, Barish RA, Groleau G. The chest pain evaluation center at the University of Maryland Medical Center. Md Med J. 1994;43:1047-1052.
18. Gomez MA, Anderson JL, Karagounis LA, et al. An emergency departmentbased protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol. 1996;28:25-33.
19. Bahr RD. Chest pain centers: moving toward proactive acute coronary care. Int J Cardiol. 2000;72:101-110.
20. Zalenski RJ, Selker HP, Cannon CP, et al. National heart attack alert program position paper: chest pain centers and programs for the evaluation of acute cardiac ischemia. Ann Emerg Med. 2000;35:462-471.
21. Trout A, Magnusson AR, Hedges JR. Patient satisfaction investigations and the emergency department: what does the literature say? Acad Emerg Med. 2000;7:695-709.
22. Goodacre SW, Quinney D, Revill S, et al. Patient and primary care physician satisfaction with chest pain unit and routine care. Acad Emerg Med. 2004; 11:827-833.
23. Cassem HN, Hacket TP. Psychiatric consultation in a coronary care unit. Ann Intern Med. 1971;75:9-14.
24. Koltun WA, Bloomer MM, Tilberg AF, et al. Awake epidural anesthesia is associated with improved natural killer cell cytotoxicity and a reduced stress response. Am J Surg. 1996;171:68-72.
25. Moser DK, Dracup K. Is anxiety early after myocardial infarction associated with subsequent ischemic and arrhythmic events? Psychosom Med. 1996;58: 395-401.
26. Chapman CR, Turner JA. Psychological control of acute pain in medical settings. J Pain Symptom Manage. 1986;1:9-20.
27. Johnson JE, Morrissey JF, Leventhal H. Psychological preparation for an endoscopic examination. Gastrointest Endosc. 1973;19:180-182.
28. Miller SM, Leinbach A, Brody DS. Coping style in hypertensive patients: nature and consequences. J Consult Clin Psychol. 1989;57:333-337.
29. Polit DF, Sherman RE. Statistical power in nursing research. Nurs Res. 1990;39:365-369.
30. Mehta RH, Montoye CK, Gallogly M, et al. Improving quality of care for acute myocardial infarction: the Guidelines Applied in Practice (GAP) initiative. JAMA. 2002;287:1269-1276.