Why the study?
Can a clinical decision rule accurately identify emergency department patients with chest pain who are safe for early discharge?
Population
Emergency department patients at least 25 years of age complaining of chest pain prior to provocative testing
Design
Cohort
Key result
A prospective cohort study was designed to derive a highly sensitive clinical decision rule for identifying emergency department patients with chest pain who are safe for early discharge.
Authors
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May enable future safe early ED discharges for chest pain; leaves open need for external validation before adoption.
Observational (n=1,200)
No
Can a clinical decision rule accurately identify emergency department patients with chest pain who are safe for early discharge?
This paper outlines the methodology for a prospective cohort study aiming to derive a clinical decision rule to safely triage and discharge low-risk emergency department patients with chest pain.
Hess et al. (2008) conducted an observational in Chest pain with possible acute coronary syndrome (n=1,200). Clinical decision rule derivation was evaluated on Acute myocardial infarction, death of cardiac or unknown cause, or revascularization within 30 days. A prospective cohort study was designed to derive a highly sensitive clinical decision rule for identifying emergency department patients with chest pain who are safe for early discharge.