Why the study?
Does a CCTA-based strategy safely expedite discharge and reduce length of stay compared to traditional care in low-to-intermediate-risk patients with possible acute coronary syndromes?
Population
1,370 low-to-intermediate-risk patients presenting to the emergency department with possible acute coronary…
Comparison
Coronary computed tomographic angiography (CCTA) vs Traditional care
Design
RCT, Randomly assigned in a 2:1 ratio
Follow-up
30 days
Authors
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Supports CCTA triage for safe early discharge in low-to-intermediate-risk possible ACS; extends randomized evidence for reduced ED length of stay.
Does a CCTA-based strategy safely expedite discharge and reduce length of stay compared to traditional care in low-to-intermediate-risk patients with possible acute coronary syndromes?
CCTA is a safe and effective triage strategy for low-to-intermediate-risk patients with possible ACS, significantly increasing direct ED discharges and reducing length of stay without increasing short-term adverse events.
Litt et al. (2012) studied this question.
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