PMID: 11604275Oct 18, 2001Paper

It is safe to manage selected patients with acute coronary syndromes in unmonitored beds

The Journal of Emergency Medicine
A M Kelly, Debra Kerr

Abstract

This prospective, observational study evaluated the safety of the Western Hospital admission protocol for patients with suspected acute coronary syndromes. The study included all patients admitted from the Emergency Department with an admission diagnosis of unstable angina, post infarct angina, atypical chest pain, or chest pain for evaluation. Data collected included demographic data, admission diagnosis, location of admission (bed with or without cardiac monitoring), past medical history and presenting chest pain history to determine Agency for Health Care Policy (AHCPR) and Western Hospital (WH) protocol classifications, cardiac enzyme assays, electrocardiogram analysis, adverse outcomes [death, myocardial infarction (MI), dysrhythmia, acute pulmonary edema, recurrent pain], diagnosis at hospital discharge, and length of stay-(LOS). There were 508 patients with a mean age of 63.7 years enrolled in the study. Three hundred nineteen (62.8%) were admitted to beds without any cardiac monitoring. There was one unexpected death in the unmonitored group, an 85 year-old patient who suffered a presumed dysrhythmia and whom the treating physician had decided was not for resuscitation. Twelve patients suffered nonfatal MI, and none suf...Continue Reading

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Citations

Jul 9, 2011·Internal and Emergency Medicine·Shamai A GrossmanRichard E Wolfe
Jan 22, 2003·Emergency Medicine·Ronald V SultanaPeter Cameron
Jun 15, 2007·Emergency Medicine Australasia : EMA·Andrew LinAnne-Maree Kelly
Apr 13, 2017·Internal Medicine Journal·Satish RamkumarDarren R Mansfield
Jun 20, 2012·Heart, Lung & Circulation·Anne-Maree KellyKean Soon

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