Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?

ABSTRACT:

Background

Chest pain is the top reason for hospitalization/observation in the USA, but it is unclear if this strategy improves patient outcomes.

Objective

The objective of this study was to compare 30-day outcomes for patients admitted versus discharged after a negative emergency department (ED) evaluation for suspected acute coronary syndrome.

Design

A retrospective, multi-site, cohort study of adult encounters with chest pain presenting to one of 13 Kaiser Permanente Southern California EDs between January 1, 2015, and December 1, 2017. Instrumental variable analysis was used to mitigate potential confounding by unobserved factors.

Patients

All adult patients presenting to an ED with chest pain, in whom an acute myocardial infarction was not diagnosed in the

SUBMITTER: Sharp AL 

PROVIDER: S-EPMC8904710 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature