Safely Identifying Emergency Department Patients With Acute Chest Pain for Early Discharge.

ABSTRACT:

Background

The HEART Pathway (history, ECG, age, risk factors, and initial troponin) is an accelerated diagnostic protocol designed to identify low-risk emergency department patients with chest pain for early discharge without stress testing or angiography. The objective of this study was to determine whether implementation of the HEART Pathway is safe (30-day death and myocardial infarction rate <1% in low-risk patients) and effective (reduces 30-day hospitalizations) in emergency department patients with possible acute coronary syndrome.

Methods

A prospective pre-post study was conducted at 3 US sites among 8474 adult emergency department patients with possible acute coronary syndrome. Patients included were ≥21 years old, investigated for possible acute coronary syndrome,

SUBMITTER: Mahler SA 

PROVIDER: S-EPMC6309794 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature