Key result
The Accelerated Chest Pain Protocol demonstrated higher diagnostic sensitivity for acute coronary syndrome compared to the traditional protocol (95% vs 58%) with equivalent specificity (99%).
Why the study?
Does an Accelerated Chest Pain Protocol improve diagnostic accuracy and reduce costs compared to a Traditional Chest Pain Protocol in patients presenting with chest pain?
Population
Patients presenting with chest pain suggestive of acute coronary syndrome in a community-based hospital of…
Comparison
Accelerated Chest Pain Protocol vs Traditional Chest Pain Protocol
Design
Cohort
Follow-up
22 months
Authors
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May support accelerated protocols for chest pain; leaves open need for randomized trials before practice change.
Observational (n=460)
No
Does an Accelerated Chest Pain Protocol improve diagnostic accuracy and reduce costs compared to a Traditional Chest Pain Protocol in patients presenting with chest pain?
Absolute Event Rate: 95% vs 58%
An accelerated chest pain protocol incorporating myoglobin and troponin I significantly improves diagnostic sensitivity for acute coronary syndrome while reducing hospital length of stay and costs.
Caragher et al. (2000) conducted an observational in Chest pain suggestive of acute coronary syndrome (n=460). Accelerated Chest Pain Protocol vs. Traditional Chest Pain Protocol was evaluated on Diagnostic sensitivity. The Accelerated Chest Pain Protocol demonstrated higher diagnostic sensitivity for acute coronary syndrome compared to the traditional protocol (95% vs 58%) with equivalent specificity (99%).
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