Why the study?
What is the safety and efficiency of an unstructured, individualized approach to emergency department assessment of chest discomfort for detecting acute coronary syndrome?
Population
1819 consecutive consenting patients aged 25 years or older presenting with chest discomfort to 2 urban…
Design
Cohort
Follow-up
30 days
Authors
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Unstructured ED assessment risks missing ACS while prolonging stays for most non-ACS patients; leaves open whether structured pathways improve safety or efficiency in real-world cohorts.
What is the safety and efficiency of an unstructured, individualized approach to emergency department assessment of chest discomfort for detecting acute coronary syndrome?
The unstructured clinical assessment of chest pain in the emergency department misses over 5% of ACS cases while over-utilizing resources for non-ACS patients, highlighting the need for standardized diagnostic pathways.
Jim Christenson (2004) studied this question.
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