What is the clinical evidence from this study?

Study design: Observational. Population: Chest pain with ST-segment elevation (n=202). Intervention: Emergency physician ECG interpretation vs. Cardiologist ECG interpretation. Primary outcome: Rate of incorrect ECG diagnosis.

What question did this study set out to answer?

This research aims to determine the rate of misinterpretation by emergency physicians of ST-segment elevation in chest pain patients.

November 1, 2000Academic Emergency MedicineOpen Access

Errors in Emergency Physician Interpretation of ST‐segment Elevation in Emergency Department Chest Pain Patients

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Key result

Emergency physician interpretation of ECG ST-segment elevation in adult chest pain patients had an incorrect diagnosis rate of 5.9% (12 of 202 cases).

Why the study?

What is the rate of error in emergency physician interpretation of ST-segment elevation in adult chest pain patients?

Population

202 adult chest pain patients with ST-segment elevation on ECG presenting to a university hospital emergency…

Comparison

Initial emergency physician ECG interpretation vs Final interpretation by a cardiologist supported…

Design

Cohort

Authors

WBWilliam J. BradySupélec APAndrew D. PerronDartmouth–Hitchcock Medical Center EUEdward UllmanBeth Israel Deaconess Medical Center

Discussion

Member takes

Implication

Supports emergency physician ECG interpretation in chest pain; leaves open prospective validation before broader adoption.

Key Points

This research aims to determine the rate of misinterpretation by emergency physicians of ST-segment elevation in chest pain patients.
Conducted a retrospective ECG review of 202 adult chest pain patients over three months in an emergency department.
Compared initial ECG interpretations by emergency physicians with final interpretations by cardiologists supported by clinical investigation results.
Calculated the rate of incorrect ECG diagnoses based on the comparisons made.
Identified a 5.9% misinterpretation rate (12 out of 202) for ST-segment elevation.
Left ventricular aneurysm was the most frequently misdiagnosed condition, misidentified as acute myocardial infarction in 40% of cases.
Misinterpretations for benign early repolarization included two cases noted as pericarditis and one as acute myocardial infarction.

Study Design

Type

Observational (n=202)

Multicenter

Structured PICO

What is the rate of error in emergency physician interpretation of ST-segment elevation in adult chest pain patients?

Population

202 adult chest pain patients with ECG ST-segment elevation evaluated in a university hospital emergency department over a 3-month period.

Exposure

Initial emergency physician (EP) ECG interpretation

Comparator

Final interpretation by a cardiologist supported by clinical investigations

Outcome

Rate of incorrect ECG diagnosis

Emergency physicians demonstrate a low rate (5.9%) of misinterpreting ST-segment elevation on ECGs in adult chest pain patients.

Cite This Study

Brady et al. (2000) conducted an observational in Chest pain with ST-segment elevation (n=202). Emergency physician ECG interpretation vs. Cardiologist ECG interpretation was evaluated on Rate of incorrect ECG diagnosis. Emergency physician interpretation of ECG ST-segment elevation in adult chest pain patients had an incorrect diagnosis rate of 5.9% (12 of 202 cases).

synapsesocial.com/papers/6a6d40ef660549caf2c2d592 https://doi.org/10.1111/j.1553-2712.2000.tb00471.x

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Errors in Emergency Physician Interpretation of ST‐segment Elevation in Emergency Department Chest Pain Patients

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Errors in Emergency Physician Interpretation of ST‐segment Elevation in Emergency Department Chest Pain Patients

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider