Why the study?
Does a facilitated approach with early exercise stress testing and SPECT reduce length of stay compared to a conservative approach in ED patients with chest pain and nondiagnostic ECGs?
Population
Patients presenting to the emergency department with chest pain and normal or nondiagnostic electrocardiogram
Comparison
Facilitated approach incorporating on-demand… vs Conservative approach using sequential…
Design
Cohort
Follow-up
30 days
Authors
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May shorten ED stays for chest pain with similar 30-day outcomes; leaves open need for randomized confirmation.
Does a facilitated approach with early exercise stress testing and SPECT reduce length of stay compared to a conservative approach in ED patients with chest pain and nondiagnostic ECGs?
A facilitated diagnostic strategy using early exercise stress testing and SPECT imaging reduces length of stay for ED patients with chest pain and nondiagnostic ECGs without compromising 30-day outcomes.
Stephen A. Stowers (2003) studied this question.
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