Prospective evaluation of a simplified risk stratification tool for patients with chest pain in an emergency department observation unit

Critical Pathways in Cardiology

Volumn 12, Issue 3, 2013, Pages 132-136

  Fuller, Matthew ^a   Hamilton, David ^a   Holly, Jessica ^a   Mallin, Michael ^a   Rayner, Thomas ^a   Eshenroder, Nathan ^a   Barton, Erik ^a   Madsen, Troy ^a  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANAMNESIS; ARTICLE; CARDIAC SCORE; CARDIOVASCULAR STENT; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; EMERGENCY WARD; FEMALE; FOLLOW UP; HEART INFARCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RISK FACTOR; SCORING SYSTEM; THORAX PAIN;

ACUTE CORONARY SYNDROME; ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; CHEST PAIN; DIABETES MELLITUS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL UNITS; HUMANS; HYPERLIPIDEMIAS; HYPERTENSION; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SMOKING; YOUNG ADULT;

EID: 84881321265     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0b013e31829a79cd     Document Type: Article

References (18)

1. L ee TH, Rouan GW, Weisberg MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from The emergency room. Am J Cardiol. 1987;60:219-224.
2. McCarthy BD, Beshansky JR, D'Agostino RB, et al. Missed diagnoses of acute myocardial infarction in the emergency department: Results from a multicenter study. Ann Emerg Med. 1993;22:579-582.
3. R ouan GW, Hedges JR, Toltzis R, et al. A chest pain clinic to improve The follow-up of patients released from an urban university teaching hospital emergency department. Ann Emerg Med. 1987;16:1145-1150.
4. A ntman 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. JAMA. 2000;284:835-842.
5. Pollack CV Jr, Sites FD, Shofer FS, et al. Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain population. Acad Emerg Med. 2006;13:13-18.
6. Pignone M, Anderson GK, Binns K, et al. Asprin use among adults aged 40 and older in the US: Results of a National Survey. Am J Prev Med. 2007;32:403-407.
7. A jani UA, Ford ES, Greenland KJ, et al. Aspirin use among U.S. adults: Behavioral Risk Factor Surveillance System. Am J Prev Med. 2006;30:74-77.
8. Snoey ER, Housset B, Guyon P, et al. Analysis of emergency department interpretation of electrocardiograms. J Accid Emerg Med. 1994;11:149-153.
9. T rzeciak S, Erickson T, Bunney EB, et al. Variation in patient management based on ECG interpretation by emergency medicine and internal medicine residents. Am J Emerg Med. 2002;20:188-195.
10. Massel D. Observer variability in ECG interpretation for thrombolysis eligibility. J Thromb Thrombolysis. 2003;15:131-140.
11. C onti A, Pieralli F, Sammicheli L, et al. Updated management of non-STsegment elevation acute coronary syndromes: Selection of patients for lowcost care: An analysis of outcome and cost effectiveness. Med Sci Monit. 2005;11:CR100-CR108.
12. C ross E, How S, Goodacre S. Development of acute chest pain services in the UK. Emerg Med J. 2007;24:100-102.
13. G oodacre 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.
14. Farkouh ME, Smars PA, Reeder GS, et al. A clinical trial of a chestpain observation unit for patients with unstable angina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators. N Engl J Med. 1998;339:1882-1888.
15. Wilkinson K, Severance H. Identification of chest pain patients appropriate for an emergency department observation unit. Emerg Med Clin North Am. 2001;19:35-66.
16. Holly J, Fuller M, Hamilton D, et al. Prospective evaluation of the use of the Thrombolysis in Myocardial Infarction (TIMI) Score as a risk stratification tool for chest pain patients admitted to an emergency department observation unit. Am J Emerg Med. 2013;31:185-189.
17. Dubé C, Rostom A, Lewin G, et al U.S. Preventive Services Task Force. The use of aspirin for primary prevention of colorectal cancer: A systematic review prepared for The U.S. Preventive Services Task Force. Ann Intern Med. 2007;146:365-375.
18. Hess EP, Agarwal D, Chandra S, et al. Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: A meta-analysis. CMAJ. 2010;182:1039-1044.