PMID: 11904256Mar 21, 2002Paper

A prospective, observational study of a chest pain observation unit in a British hospital

Emergency Medicine Journal : EMJ
S W GoodacreK Angelini

Abstract

To establish a chest pain observation unit, monitor its performance in terms of appropriate discharge after assessment, and estimate the cost per patient. Prospective, observational, cohort study of patients attending a large, city, teaching hospital accident and emergency department between 1 March 1999 and 29 February 2000 with acute undifferentiated chest pain. Patients were managed on a chest pain observation unit, entailing two to six hours of observation, serial electrocardiograph recording, cardiac enzyme measurement, and, where appropriate, exercise stress test. Patients were discharged home if all tests were negative and admitted to hospital if tests were positive or equivocal. The following outcomes were measured-proportion of participants discharged after assessment; clinical status three days after discharge; cardiac events and procedures during the following six months; and cost of assessment and admission. Twenty three participants (4.3%) had a final diagnosis of myocardial infarction. All were detected and admitted to hospital. A total of 461 patients (86.3%) were discharged after assessment, 357 (66.9%) avoided hospital admission entirely. At review three days later these patients had no new ECG changes and only...Continue Reading

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Citations

Aug 27, 2005·BMC Emergency Medicine·Steve GoodacreFrancis Morris
Jul 9, 2004·BMC Public Health·Mario Ivanusa, Zrinka Ivanusa
Sep 5, 2003·Emergency Medicine Journal : EMJ·S Goodacre, N Calvert
Jan 22, 2004·Emergency Medicine Journal : EMJ·S GoodacreF Morris
Sep 22, 2006·Emergency Medicine Journal : EMJ·S Goodacre
Jun 22, 2007·Emergency Medicine Journal : EMJ·Jane ArnoldUNKNOWN ESCAPE Research Team
Apr 23, 2009·International Journal of Emergency Medicine·Jon W SchrockRita K Cydulka
Dec 17, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rahul K KhareTodd A Lee
Mar 31, 2007·Preventive Cardiology·Beth C BockRaymond Niaura
Jun 16, 2010·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Ricardo T AbreuMarcelo F Mesquita
Jun 15, 2011·Emergency Medicine Australasia : EMA·UNKNOWN Australian Resuscitation Council, UNKNOWN New Zealand Resuscitation Council
Apr 26, 2006·The American Journal of Emergency Medicine·Libby A CrenshawMichael S Lyons
Jul 6, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Richard Andrew TaylorDavid H Newman
Aug 18, 2018·Expert Review of Pharmacoeconomics & Outcomes Research·Vladica M VeličkovićUwe Siebert
Dec 23, 2006·Risk Analysis : an Official Publication of the Society for Risk Analysis·Kimberly M Thompson, Radboud J Duintjer Tebbens
Dec 23, 2006·Risk Analysis : an Official Publication of the Society for Risk Analysis·Radboud J Duintjer TebbensKimberly M Thompson
Mar 15, 2008·Critical Pathways in Cardiology·Steve Goodacre
Mar 13, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·G-J van BaarenUNKNOWN HYPITAT-II Study Group
Sep 13, 2002·Risk Analysis : an Official Publication of the Society for Risk Analysis·Kimberly M ThompsonJohn D Graham
Apr 22, 2010·Journal of the International AIDS Society·Njoku O Ama, Esther S Seloilwe
Mar 15, 2003·Risk Analysis : an Official Publication of the Society for Risk Analysis·Joshua T Cohen, John D Graham
Jun 2, 2007·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Paul O Collinson, David C Gaze
May 8, 2019·Movement Disorders Clinical Practice·Nafsika AfentouSanjib Saha

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