Please use this identifier to cite or link to this item:
https://dora.health.qld.gov.au/qldresearchjspui/handle/1/532
Title: | 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 | Authors: | Coverdale, S. Parsonage, W. Larsen, P. Bilesky, J. Cullen, L. Gibson, J. Ashover, S. George, T. |
Issue Date: | 2013 | Source: | August 25, (4), 2013, p. 340-344 | Pages: | 340-344 | Journal: | EMA - Emergency Medicine Australasia | Abstract: | Emergency physicians can feel pressured by opposing forces of clinical reality and the need to publish successful key performance indicators in an environment of increasing demands and cost containment. This is particularly relevant to management of patients with undifferentiated chest pain and possible acute coronary syndrome. Unreliability of clinical assessment and high risk of adverse outcomes for all concerned exist, yet national guidelines are at odds with efforts to reduce ED crowding and access block. We report findings from the Nambour Short Low-Intermediate Chest pain risk trial, which safely introduced an accelerated diagnostic protocol with reduced ED length of stay and high patient acceptability. Over a 7-month period, there were no major adverse cardiac events by 30 days in 19% of undifferentiated chest pain presentations with possible acute coronary syndrome discharged after normal sensitive cardiac troponin taken 2h after presentation and scheduled to return for outpatient exercise stress test. 2013 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. | DOI: | http://dx.doi.org/10.1111/1742-6723.12091 | Resources: | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=emed11&AN=2013500414 | Keywords: | Acute coronary syndromeChest pain;Length of stay;Risk assessment;Troponin;acute coronary syndrome/di [Diagnosis];acute heart infarction;adverse outcome;angiocardiography;article;cardiopulmonary exercise test;clinical assessment;clinical protocol;emergency care;emergency patient;emergency physician;emergency ward;follow up;human;ischemic heart disease;medical record;outcome assessment;patient information;patient satisfaction;practice guideline;priority journal;thorax pain;troponin/ec [Endogenous Compound] | Type: | Article |
Appears in Sites: | Sunshine Coast HHS Publications |
Show full item record
Items in DORA are protected by copyright, with all rights reserved, unless otherwise indicated.