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Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients.

Publication ,  Journal Article
Dallara, J; Severance, HW; Davis, B; Schulz, G
Published in: Acad Emerg Med
July 1997

OBJECTIVE: To compare and contrast the patient characteristics of ED patients at low risk for acute cardiac ischemia who were assigned to a chest pain observation service vs those admitted to a monitored inpatient bed for "rule-out acute myocardial infarction" (R/O MI). METHODS: This was a retrospective, cross-sectional comparison of adult patients considered at relatively low risk for cardiac ischemia and who were evaluated in 1 of 2 settings: a short-term observation service and an inpatient monitored bed. All patients had an ED final diagnosis of "chest pain," "R/O MI," or "unstable angina" during the 7-month study period. Demographic features and presenting clinical features were examined as a function of site of patient evaluation. RESULTS: Of 531 study patients, 265 (50%) were assigned to the observation service. Younger age (OR = 1.75, 95% CI 1.26, 2.44, for each decrement of 20 years), the complaint of "chest pain" (OR = 2.35, 95% CI 1.34, 4.12), and the absence of prior known coronary artery disease (OR = 1.64, 95% CI 1.13, 2.38) were the principal independent factors associated with assignment to a chest pain observation service bed. CONCLUSIONS: Patients evaluated in a chest pain observation service appear to have different clinical characteristics than other individuals admitted to a monitored inpatient bed for "R/O MI." Investigators should address differences in clinical characteristics when making outcome comparisons between these 2 patient groups.

Duke Scholars

Published In

Acad Emerg Med

DOI

ISSN

1069-6563

Publication Date

July 1997

Volume

4

Issue

7

Start / End Page

693 / 698

Location

United States

Related Subject Headings

  • Triage
  • Risk Assessment
  • Retrospective Studies
  • Patient Selection
  • Patient Admission
  • Myocardial Ischemia
  • Myocardial Infarction
  • Monitoring, Physiologic
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
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Dallara, J., Severance, H. W., Davis, B., & Schulz, G. (1997). Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients. Acad Emerg Med, 4(7), 693–698. https://doi.org/10.1111/j.1553-2712.1997.tb03762.x
Dallara, J., H. W. Severance, B. Davis, and G. Schulz. “Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients.Acad Emerg Med 4, no. 7 (July 1997): 693–98. https://doi.org/10.1111/j.1553-2712.1997.tb03762.x.
Dallara J, Severance HW, Davis B, Schulz G. Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients. Acad Emerg Med. 1997 Jul;4(7):693–8.
Dallara, J., et al. “Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients.Acad Emerg Med, vol. 4, no. 7, July 1997, pp. 693–98. Pubmed, doi:10.1111/j.1553-2712.1997.tb03762.x.
Dallara J, Severance HW, Davis B, Schulz G. Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients. Acad Emerg Med. 1997 Jul;4(7):693–698.
Journal cover image

Published In

Acad Emerg Med

DOI

ISSN

1069-6563

Publication Date

July 1997

Volume

4

Issue

7

Start / End Page

693 / 698

Location

United States

Related Subject Headings

  • Triage
  • Risk Assessment
  • Retrospective Studies
  • Patient Selection
  • Patient Admission
  • Myocardial Ischemia
  • Myocardial Infarction
  • Monitoring, Physiologic
  • Middle Aged
  • Male