Stress CMR imaging observation unit in the emergency department reduces 1-year medical care costs in patients with acute chest pain: A randomized study for comparison with inpatient care

JACC: Cardiovascular Imaging

Volumn 4, Issue 8, 2011, Pages 862-870

  Miller, Chadwick D ^a   Hwang, Wenke ^a   Case, Doug ^a   Hoekstra, James W ^a   Lefebvre, Cedric ^a   Blumstein, Howard ^a   Hamilton, Craig A ^a   Harper, Erin N ^a   Hundley, W Gregory ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

chest pain; clinical trial; costs and cost analysis; emergency medicine; magnetic resonance imaging

Indexed keywords

ADENOSINE; DOBUTAMINE; TROPONIN I;

ADULT; AGED; ARTICLE; CARDIOVASCULAR MAGNETIC RESONANCE; CARDIOVASCULAR RISK; CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY RECANALIZATION; EMERGENCY WARD; FEMALE; FOLLOW UP; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HEART CATHETERIZATION; HEART DEATH; HEART INFARCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; OUTCOME ASSESSMENT; PATIENT CARE; PERCUTANEOUS CORONARY INTERVENTION; PHARMACOLOGIC STRESS TESTING; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; STRESS ECHOCARDIOGRAPHY; THORAX PAIN;

ACUTE DISEASE; ADENOSINE; CHEST PAIN; COST SAVINGS; DELIVERY OF HEALTH CARE; DOBUTAMINE; DRUG COSTS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEART DISEASES; HOSPITAL COSTS; HUMANS; INPATIENTS; LINEAR MODELS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; MODELS, ECONOMIC; NORTH CAROLINA; PATIENT ADMISSION; PATIENT DISCHARGE; PREDICTIVE VALUE OF TESTS; TIME FACTORS;

EID: 80051650001     PISSN: 1936878X     EISSN: 18767591     Source Type: Journal    
DOI: 10.1016/j.jcmg.2011.04.016     Document Type: Article

References (10)

1. M.E. Farkouh, P.A. Smars, G.S. Reeder CHEER Investigators A clinical trial of a chest-pain observation unit for patients with unstable angina N Engl J Med 339 1998 1882 1888 (Pubitemid 29013931)
2. R.R. Roberts, R.J. Zalenski, and E.K. Mensah Costs of an emergency departmentbased accelerated diagnostic protocol vs. hospitalization in patients with chest pain: a randomized controlled trial JAMA 278 1997 1670 1676 (Pubitemid 27509514)
3. J.L. Anderson, C.D. Adams, and E.M. Antman 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) J Am Coll Cardiol 50 2007 e1 e157
4. C.D. Miller, W. Hwang, and J.W. Hoekstra Stress cardiac magnetic resonance imaging with observation unit care reduces cost for patients with emergent chest pain: a randomized trial Ann Emerg Med 56 2010 209 219.e2
5. M.J. Budoff, M.C. Cohen, and M.J. Garcia ACCF/AHA clinical competence statement on cardiac imaging with computed tomography and magnetic resonance: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training J Am Coll Cardiol 46 2005 383 402 (Pubitemid 40966876)
6. J.A. Kline, A.M. Mitchell, M.S. Runyon, A.E. Jones, and W.B. Webb Electronic medical record review as a surrogate to telephone follow-up to establish outcome for diagnostic research studies in the emergency department Acad Emerg Med 12 2005 1127 1133 (Pubitemid 41503544)
7. J.P. Curtis, G. Schreiner, and Y. Wang All-cause readmission and repeat revascularization after percutaneous coronary intervention in a cohort of Medicare patients J Am Coll Cardiol 54 2009 903 907
8. G. Ramakrishna, J.J. Milavetz, and A.R. Zinsmeister Effect of exercise treadmill testing and stress imaging on the triage of patients with chest pain: CHEER substudy Mayo Clin Proc 80 2005 322 329 (Pubitemid 40316293)
9. W.G. Hundley, T.M. Morgan, C.M. Neagle, C.A. Hamilton, P. Rerkpattanapipat, and K.M. Link Magnetic resonance imaging determination of cardiac prognosis Circulation 106 2002 2328 2333 (Pubitemid 35244733)
10. W.P. Ingkanisorn, R.Y. Kwong, and N.S. Bohme Prognosis of negative adenosine stress magnetic resonance in patients presenting to an emergency department with chest pain J Am Coll Cardiol 47 2006 1427 1432