Low-risk chest pain in the emergency department: Should we be focusing on better follow-up instead of accelerated testing?

JAMA Internal Medicine

Volumn 174, Issue 6, 2014, Pages 1010-

  Than, Martin ^a   Aldous, Sally ^a   Young, Joanne ^a  

^a CHRISTCHURCH HOSPITAL   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

TROPONIN;

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; CLINICAL PATHWAY; CONCEPTUAL FRAMEWORK; EXERCISE TEST; EXPERIMENTAL PATHWAY; FOLLOW UP; HEALTH CARE QUALITY; HUMAN; LENGTH OF STAY; LETTER; LOW RISK PATIENT; OUTPATIENT CARE; PATIENT CARE; PRIORITY JOURNAL; THORAX PAIN; UNSTABLE ANGINA PECTORIS;

ACUTE CORONARY SYNDROME; ANGINA, UNSTABLE; CHEST PAIN; FEMALE; HUMANS; MALE;

EID: 84902128263     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2014.914     Document Type: Letter

References (5)

1. Than M, Aldous S, Lord SJ, et al. A 2-hour diagnostic protocol for possible cardiac chest pain in the emergency department: a randomized clinical trial. JAMA Intern Med. 2014;174(1):51-58.
2. Goldberg RJ, Currie K, White K, et al. Six-month outcomes in a multinational registry of patients hospitalized with an acute coronary syndrome (the Global Registry of Acute Coronary Events [GRACE]).AmJ Cardiol. 2004;93(3):288-293. (Pubitemid 38167423)
3. Than M, HerbertM, Flaws D, et al. What is an acceptable risk of major adverse cardiac event in chest pain patients soon after discharge from the emergency department? a clinical survey. Int J Cardiol. 2013;166(3):752-754.
4. George T, Ashover S, Cullen L, et al. Introduction of an accelerated diagnostic protocol in the assessment of emergency department patients with possible acute coronary syndrome: the Nambour Short Low-Intermediate Chest pain project. Emerg Med Australas. 2013;25(4):340-344.
5. Dickson EW, Singh S, Cheung DS,Wyatt CC, Nugent AS. Application of lean manufacturing techniques in the emergency department. J Emerg Med. 2009; 37(2):177-182.