PMID: 9437380Jan 23, 1998Paper

Assessment of cocaine use in patients with chest pain syndromes

Archives of Internal Medicine
Judd E HollanderS M Valentine

Abstract

Patients with myocardial ischemia may have different dispositions and/or pharmacologic interventions based on whether they have recently used cocaine. To determine the prevalence of assessment of cocaine use in patients with acute chest pain syndromes. In phase 1 of the study, we reviewed the medical records of all patients with chest pain who presented to the emergency department during February 1996 to assess historical documentation of the presence or absence of cocaine use. In phase 2, we evaluated whether cocaine questions were asked but not documented. After hospital admission, patients were interviewed to see if they were asked about cocaine use. In phase 3, we evaluated possible recall bias by using standardized questioning in the emergency department and used subsequent interviews to assess recall. Assessment of other cardiac risk factors served as the comparison group. In phase 1, 129 charts were reviewed, 13% of which revealed myocardial infarction. The presence or absence of cocaine use (13%) was less frequently documented than the presence or absence of hypercholesterolemia (58%), hypertension (82%), smoking (90%), diabetes (73%), or family history (77%) (chi 2, P < .05 for all comparisons). In phase 2, 27 (31%) of...Continue Reading

Citations

Aug 12, 2010·The Journal of Behavioral Health Services & Research·John C FortneyBrenda M Booth
Jan 27, 2011·European Heart Journal·Xavier CarrilloAntoni Bayes-Genis
Jul 9, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Christopher R BishopDavid M Wood
May 10, 2007·Postgraduate Medical Journal·David M WoodPaul I Dargan
Jul 18, 2002·The American Journal of the Medical Sciences·Michael B Erwin, Efthymios N Deliargyris
Jul 4, 2007·The American Journal of Emergency Medicine·Melissa L GivensKathleen Delaney
Dec 17, 2015·BMJ Supportive & Palliative Care·Mia Schmidt-HansenStephanie Arnold

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