Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.

ABSTRACT:

Objective

 To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome.

Design

 Multicenter pragmatic parallel randomized controlled trial.

Setting

 Six emergency departments in the United States.

Participants

 898 adults (aged >17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain.

Interventions

 Patients were rand

SUBMITTER: Hess EP 

PROVIDER: S-EPMC5152707 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature