Cost and outcomes of assessing patients with chest pain in an Australian emergency department

Medical Journal of Australia

Volumn 202, Issue 8, 2015, Pages 427-432

  Cullen, Louise ^a   Greenslade, Jaimi ^b   Merollini, Katharina ^b   Graves, Nicholas ^b   Hammett, Christopher J K ^a   Hawkins, Tracey ^a   Than, Martin P ^c   Brown, Anthony F T ^a   Huang, Christopher B ^d   Panahi, Seyed E ^d   Dalton, Emily ^a   Parsonage, William A ^a  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

^c CHRISTCHURCH HOSPITAL   (New Zealand)

^d UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

TROPONIN;

ACUTE CORONARY SYNDROME; ADULT; AGED; ARTICLE; ATRIAL FIBRILLATION; ATRIOVENTRICULAR BLOCK; CARDIOVASCULAR RISK; DEATH; EMERGENCY WARD; FEMALE; HEALTH CARE COST; HEART FAILURE; HOSPITALIZATION; HUMAN; INTERVIEW; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; NON ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; OBSERVATIONAL STUDY; PERICARDITIS; PROSPECTIVE STUDY; THORAX PAIN; TREATMENT OUTCOME; AUSTRALIA; CHEST PAIN; ECONOMICS; EMERGENCY HEALTH SERVICE; MIDDLE AGED;

ACUTE CORONARY SYNDROME; AUSTRALIA; CHEST PAIN; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OBSERVATIONAL STUDY AS TOPIC; PROSPECTIVE STUDIES;

EID: 84930007603     PISSN: 0025729X     EISSN: 13265377     Source Type: Journal    
DOI: 10.5694/mja14.00472     Document Type: Article

References (22)

1. Bhuiya FA, Pitts SR, McCaig LF. Emergency department visits for chest pain and abdominal pain: United States, 1999-2008. NCHS Data Brief 2010; 43: 1-8.
2. Acute Coronary Syndrome Guidelines Working Group. National Heart Foundation of Australia, Cardiac Society of Australia and New Zealand guidelines for the management of acute coronary syndromes 2006. Med J Aust 2006; 184 (8 Suppl): S1-S32..
3. Chew DP, Aroney CN, Aylward PE, et al. Addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes (ACS) 2006. Heart Lung Circ 2011; 20: 487-502.
4. Queensland Health Finance Branch. Activity based funding model 2010-11. Technical paper 2011.
5. Australian Institute of Health and Welfare. Australia’s Health 2010. Chapter 8: Expenditure and workforce. Canberra: AIHW, 2010. (Australia’s Health Series No. 12. AIHW Cat. No. AUS 122.) http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442452958 (accessed Feb 2015).
6. Cullen L, Than M, Brown AF, et al. Comprehensive standardized data definitions for acute coronary syndrome research in emergency departments in Australasia. Emerg Med Australas 2010; 22: 35-55.
7. Thygesen K, Alpert JS, Jaffe AS, et al. Third universal definition of myocardial infarction. Circulation 2012; 126: 2020-2035.
8. Hess EP, Brison RJ, Perry JJ, et al. Development of a clinical prediction rule for 30-day cardiac events in emergency department patients with chest pain and possible acute coronary syndrome. Ann Emerg Med 2012; 59: 115-125.e1.
9. Body R, Carley S, McDowell G, et al. Rapid exclusion of acute myocardial infarction in patients with undetectable troponin using a highsensitivity assay. J Am Coll Cardiol 2011; 58: 1332-1339.
10. Christenson J, Innes G, McKnight D, et al. A clinical prediction rule for early discharge of patients with chest pain. Ann Emerg Med 2006; 47: 1-10.
11. Domanovits H, Schillinger M, Paulis M, et al. Acute chest pain - a stepwise approach, the challenge of the correct clinical diagnosis. Resuscitation 2002; 55: 9-16.
12. Chew DP, French J, Briffa TG, et al. Acute coronary syndrome care across Australia and New Zealand: the SNAPSHOT ACS study. Med J Aust 2013; 199: 185-191.
13. Cullen L, Greenslade J, Hammett CJ, et al. Comparison of three risk stratification rules for predicting patients with acute coronary syndrome presenting to an Australian emergency department. Heart Lung Circ 2013; 22: 844-851.
14. Than M, Cullen L, Reid CM, et al. A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia- Pacific region (ASPECT): a prospective observational validation study. Lancet 2011; 377: 1077-1084.
15. Than M, Cullen L, Aldous S. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol 2012; 59: 2091-2098.
16. Cullen L, Mueller C, Parsonage WA, et al. Validation of high-sensitivity troponin I in a 2-hour diagnostic strategy to assess 30-day outcomes in emergency department patients with possible acute coronary syndrome. J Am Coll Cardiol 2013; 62: 1242-1249.
17. 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: 340-344.
18. 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: 51-58.
19. Macdonald SP, Nagree Y, Fatovich DM, et al. Comparison of two clinical scoring systems for emergency department risk stratification of suspected acute coronary syndrome. Emerg Med Australas 2011; 23: 717-725.
20. Penumetsa SC, Mallidi J, Friderici JL, et al. Outcomes of patients admitted for observation of chest pain. Arch Intern Med 2012; 172: 873-877.
21. Prasad V, Cheung M, Cifu A. Chest pain in the emergency department: the case against our current practice of routine noninvasive testing. Arch Intern Med 2012; 172: 1506-1509.
22. Cullen L, Parsonage WA, Greenslade J, et al. Comparison of early biomarker strategies with the Heart Foundation of Australia/Cardiac Society of Australia and New Zealand guidelines for risk stratification of emergency department patients with chest pain. Emerg Med Australas 2012; 24: 595-603.