Why the study?
Does assessment at higher volume emergency departments reduce the composite of all-cause death or hospitalization for acute coronary syndrome in patients ≥40 years old presenting with chest pain and discharged?
Does assessment at higher volume emergency departments reduce the composite of all-cause death or hospitalization for acute coronary syndrome in patients ≥40 years old presenting with chest pain and discharged?
Patients discharged after chest pain assessment from higher-volume emergency departments have lower rates of death or ACS hospitalization, with a volume threshold of 1400 cases annually for maximal benefit.
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Higher-volume ED assessment was associated with fewer events; hypothesis-generating and should not yet change triage or referral patterns.
Ko et al. (2018) studied this question.
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