Key result
Implementation of a chest pain critical pathway reduced median length of stay by almost 4 hours (P=0.019) and significantly increased patient satisfaction (P<0.001), but did not reduce anxiety.
Why the study?
Does the implementation of a chest pain critical pathway improve length of stay, patient satisfaction, and anxiety in adult patients admitted with symptoms suggestive of acute coronary syndrome?
Population
Patients older than 18 years admitted to the Chest Pain Unit with symptoms suggestive of an acute coronary…
Comparison
Implementation of a critical pathway focusing on… vs Standard care before the implementation of the…
Design
Cohort
Authors
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May support efficiency and satisfaction gains; hypothesis-generating and requires randomized trials before practice change.
Does the implementation of a chest pain critical pathway improve length of stay, patient satisfaction, and anxiety in adult patients admitted with symptoms suggestive of acute coronary syndrome?
p-value: p=0.019
Implementing a critical pathway for chest pain management significantly reduces length of stay and improves patient satisfaction without increasing adverse cardiac events.
Siebens et al. (2010) studied Chest pain / symptoms suggestive of acute coronary syndrome. Chest pain critical pathway vs. Usual care (before implementation) was evaluated on Length of stay, patient satisfaction, and anxiety (p=0.019). Implementation of a chest pain critical pathway reduced median length of stay by almost 4 hours (P=0.019) and significantly increased patient satisfaction (P<0.001), but did not reduce anxiety.
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