Compliance with outpatient stress testing in low-risk patients presenting to the emergency department with chest pain

Critical Pathways in Cardiology

Volumn 10, Issue 1, 2011, Pages 35-40

  Milano, Peter ^a   Carden, Donna L ^a   Jackman, Kelly M ^a   Rongkavilit, Arada ^a   Groves, Kevin ^a   Tyndall, Joseph ^a   Moll, Joel ^b  

^a UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

^b EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

chest pain; emergency service; Exercise tests; hospital

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD CLOT LYSIS; CARDIOPULMONARY EXERCISE TEST; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CORRELATION ANALYSIS; DIABETES MELLITUS; DISEASE MARKER; ELECTROCARDIOGRAM; EMERGENCY WARD; FEMALE; HEART INFARCTION; HUMAN; HYPERCHOLESTEROLEMIA; HYPERTENSION; INSURANCE; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; OUTCOME ASSESSMENT; OUTPATIENT; PRIORITY JOURNAL; RACE; SMOKING; THORAX PAIN; UNIVERSITY HOSPITAL;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CAUSE OF DEATH; CHEST PAIN; CLINICAL PROTOCOLS; COHORT STUDIES; CONTINUITY OF PATIENT CARE; DATABASES, FACTUAL; EMERGENCY SERVICE, HOSPITAL; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT COMPLIANCE; RETROSPECTIVE STUDIES; RISK ASSESSMENT; YOUNG ADULT;

EID: 79952365926     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0b013e31820fd9bd     Document Type: Article

References (30)

1. Pitts SR, Niska RW, Xu J, et al. national hospital ambulatory medical care survey: 2006 emergency department summary. National Health Statistics Reports; No. 7. Hyattsville, MD: National Center for Health Statistics; 2008.
2. Amsterdam EA, Lewis WR, Yadlapalli S. Evaluation of low-risk patients with chest pain in the ED: value and limitations of recent methods. Cardiol Rev. 1999;7:17-26. (Pubitemid 29038446)
3. Selker HP, Beshansky JR, Griffith JL, et al. Use of the acute cardiac ischemia time-insensitive predictive instrument (ACU-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of cardiac ischemia. Ann Intern Med. 1998;129:845-855. (Pubitemid 28549811)
4. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnosis of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342: 1163-1170. (Pubitemid 30211047)
5. Karcz A, Korn R, Burke MC, et al. Malpractice claims against emergency physicians in Massachusetts: 1975-1993. Am J Emerg Med. 1996;14:341-345. (Pubitemid 26240832)
6. Polanczyk CA, Johnson PA, Hartley LH, et al. Clinical correlates and prognostic significance of early negative exercise tolerance test in patients with acute chest pain seen in the hospital emergency department Am J Cardiol. 1998;81:288-292. (Pubitemid 28099302)
7. Manini AF, Gisondi MA, van der Vlug TM, et al. Adverse cardiac events in emergency department patients with chest pain six months after a negative inpatient evaluation for acute coronary syndrome. Acad Emerg Med. 2002; 9:896-902. (Pubitemid 35006759)
8. Meyer MC, Mooney RP, Sekera A. A critical pathway for patients with acute chest pain and low risk for short-term adverse cardiac events: role of outpatient stress testing. Ann Emerg Med. 2006;47:427-435.
9. Lai C, Noeller TP, Schmidt K, et al. Short-term risk after initial observation for chest pain. J Emerg Med. 2003;25:357-362. (Pubitemid 37488038)
10. Papa L, Goldfeder B, Trakulsrichai S, et al. The impact of an accelerated clinical protocol with outpatient stress testing in chest pain patients at low risk of acute coronary syndrome on admission rates. Acad Emerg Med. 2007;14: S165.
11. Marsan RJ, Shaver KJ, Sease KL, et al. Evaluation of a clinical decision rule for young adult patients with chest pain. Acad Emerg Med. 2005;12:26-32.
12. Walker NJ, Sites FD, Shofer FS, et al. Characteristics and outcomes of young adults who present to the emergency department with chest pain. Acad Emerg Med. 2001;8:703-708. (Pubitemid 32622510)
13. Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making. J AmA. 2000;284:835-842 (Pubitemid 30643610)
14. Pollack CV, Roe MT, Peterson ED. 2002 update to the ACC/AHA guidelines for the management of patients with unstable angina and non-ST segment elevation myocardial infarction: implications for emergency department prac-tice. Ann Emerg Med. 2003;41:355-369.
15. Pollack CV, Sites FD, Shofer FS, et al. Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unse-lected emergency department chest pain population. Acad Emerg Med. 2006;13:13-18. (Pubitemid 41827288)
16. McCaig LF, Nawar EW. National Hospital Ambulatory Medical Case Sur-vey: 2004 emergency department summary. Adv Data. 2006;372:1-29.
17. Lau J, Ioannidis JP, Balk E, et al. Diagnostic acute cardiac ischemia in the emergency department: a systemic review of the accuracy and clinical effect of current technology. Ann Emerg Med. 2001;5:453-460. (Pubitemid 32417570)
18. Amsterdam EA, Kirk JD, Diercks DB, et al. Immediate exercise testing to evaluate low-risk patients presenting to the emergency department with chest pain. J Am Coll Cardiol. 2002;40:25-26.
19. Gibler WB, Runyon JP, Levy RC, et al. A rapid diagnostic and treatment center for patients with chest pain in the emergency department. Ann Emerg Med. 1995;25:1-8.
20. Braunwald E, Jones RH, Mark DB, et al. Diagnosing and managing unstable angina: Agency for Health Care Policy and Research. Circulation. 1994;90:613-622.
21. Richards D, Meshkat N, Chu J, et al. Emergency department patient compli-ance with follow-up for outpatient stress testing: a randomized controlled trial. CJEM. 2007;9:435-440.
22. Blanchard JC, Haywood YC, Scott C Racial and ethnic disparities in health: an emergency medicine perspective. Acad Emerg Med. 2003;10:1289-1293. (Pubitemid 37377288)
23. Curtis JR, Burke W, Kassner AW, et al. Absence of health insurance is associated with decreased life expectancy in patients with cystic fibrosis. Am J Respir Crit Care Med. 1997;155:1921-1924. (Pubitemid 27256119)
24. McWilliams JM. Health consequences of uninsurance among adults in the United States: recent evidence and implications. Milbank Q. 2009;87:443-494.
25. Amsterdam EA, Kirk JD, Diercks DB, et al. Early exercise testing in the management of low risk patients in chest pain centers. Prog Cardiovasc Dis. 2004;46:438-452. (Pubitemid 38670116)
26. Baker H, Calderone M, Collin M, et al. Lack of utility of stress testing in young patients with potential acute coronary syndromes. Acad Emerg Med. 2010;17(suppl 1):S138.
27. Chan GW, Sites FD, Shofer FS, et al. Impact of stress testing on 30-day cardiovascular outcomes for low-risk patients with chest pain admitted to floor telemetry beds. Am J Emerg Med. 2003;21:282-287. (Pubitemid 36959128)
28. Zalenski RJ, McCarren M, Roberts R. An evaluation of a chest pain diag-nostic protocol to exclude acute cardiac ischemia in the emergency depart-ment Arch Intern Med. 1997;157:1085-1091. (Pubitemid 27215431)
29. Roberts RR, Zalenski RJ, Mensah EK. Costs of an emergency department-based accelerated diagnostic protocol vs. hospitalization in patients with chest pain. J AmA. 1997;278:1670-1676. (Pubitemid 27509514)
30. Khare RK, Powell ES, Venkatesh AR, et al. Diagnostic uncertainty and costs associated with current emergency department evaluation of low risk chest pain. Crit Pathw Cardiol. 2008;7:191-196.