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July 29, 2004Health and Quality of Life OutcomesOpen Access

A randomised controlled trial to measure the effect of chest pain unit care upon anxiety, depression, and health-related quality of life ISRCTN85078221

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Why the study?

Does chest pain unit assessment improve psychological symptoms and health-related quality of life in patients with acute undifferentiated chest pain?

Population

Patients attending hospital with acute, undifferentiated chest pain, undiagnosed by clinical assessment, ECG…

Comparison

Chest pain unit (CPU) assessment vs Routine care

Design

RCT, Cluster-randomised; days were randomised in equal numbers to CPU or…

Follow-up

1 month

Authors

SGSteve GoodacreUppsala UniversityJNJon NichollUniversity of Sheffield

Discussion

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Implication

Supports incorporating CPU assessment into chest pain protocols; extends randomized evidence on patient-centered outcomes beyond diagnosis.

Structured PICO

Does chest pain unit assessment improve psychological symptoms and health-related quality of life in patients with acute undifferentiated chest pain?

P
Population
Patients attending hospital with acute, undifferentiated chest pain, undiagnosed by clinical assessment, ECG and chest radiograph
I
Intervention
Chest pain unit (CPU) assessment
C
Comparator
Routine care
O
Outcome
Psychological symptoms and health-related quality of life measured by self-completed questionnaires (SF-36 and HADS) at two days and one month after hospital attendancepatient reported

Chest pain unit assessment for acute undifferentiated chest pain improves patient-reported quality of life and reduces symptoms of depression compared to routine care.

Cite This Study

Goodacre et al. (2004) studied this question.

synapsesocial.com/papers/6a7163068031ec7bb1dcf066https://doi.org/10.1186/1477-7525-2-39
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain: a randomized controlled trial1997 · 351 citations
  2. 2Prospective audit of incidence of prognostically important myocardial damage in patients discharged from emergency department Commentary: Time for improved diagnosis and management of patients presenting with acute chest pain2000 · 136 citations
  3. 3The Hospital Anxiety and Depression Scale1983 · 47,410 citations
  4. 4Patient and Primary Care Physician Satisfaction with Chest Pain Unit and Routine Care2004 · 15 citations
  5. 5The Relationship between Admission to Hospital with Chest Pain and Psychiatric Disorder1998 · 15 citations