Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study.
This study examines the question of whether chest pain observation units increase the proportion of chest pain patients with an extended eva uation for cardiac ischemia ( « rule out myocardial infarction [MI] evaluation »), decrease the number of missed Mls, and decrease costs.
This is a multiple site registry study of 8 established chest pain observation units (complying with the American College Emergency Physician's Observation Section's standards) compared with previous studies on chest pain evaluation without the use of observation (5 studies, 12,405 patients).
A total of 23,407 of 444,189 emergency department patients (5.3%) had the chief complaint of chest pain during the study period.
In the chest pain observation units, 153 of 2,229 patients (6.9%) with acute MI were identified.
Most of the observation chest pain patients (76%) were discharged home without hospital admission.
Compared to previous studies, a higher proportion of patients underwent a « rule out MI evaluation » (67%, 95% confidence interval [Cl] 66%, 68% vs 57%, 95% Cl 56%, 58% ; p<0.001) equal to 2,250 additional patients completely evaluated ($1,219,500 additional costs).
A lower proportion of MIs were missed (0.4%, 95% Cl 0.3%, 0.5% vs 4.5%, 95% Cl 4.0% to 5.5% ; p<0.001) as estimated by return visits within 72 hours.
Compared to previous studies, final hospital admission rate was lower (47%, 95% Cl 46%, 48% vs 57%, 95% Cl 56%, 58% ; p<0. (...)
Mots-clés Pascal : Soin, Infarctus, Myocarde, Douleur, Thorax, SAMU, Coût, Economie santé, Revue bibliographique, Diagnostic, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Care, Infarct, Myocardium, Pain, Thorax, Emergency medical care unit, Costs, Health economy, Bibliographic review, Diagnosis, Human, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0479376
Code Inist : 002B12A03. Création : 03/02/1998.