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September 15, 2015Western Journal of Emergency MedicineOpen Access

There was one aortic dissection for every 12,200 (95% CI 11,400-13,100) ED visits and one for every 980 (95% CI 910-1,050) atraumatic chest pain patients.

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Population

9.5 million consecutive emergency department visits across 33 suburban and urban New York and New Jersey EDs…

Design

Cohort

Authors

SAScott M. AlterBEBarnet EskinJAJ.R. Allegra

Discussion

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Overview

Rare aortic dissection incidence supports selective ED testing; leaves open prospective validation of risk stratification.

Structured PICO

P
Population
9.5 million consecutive emergency department visits across 33 suburban and urban New York and New Jersey EDs between 1996 and 2010, including 782 patients diagnosed with aortic dissection (mean age 66±16 years, 38% female) and 763,000 with atraumatic chest pain.
O
Outcome
Number of total ED and atraumatic chest pain patients for every aortic dissection diagnosed

Aortic dissection is a rare diagnosis in the emergency department, occurring in approximately 1 in 12,200 total visits and 1 in 980 visits for atraumatic chest pain.

Cite This Study

Alter et al. (2015) studied this question.

synapsesocial.com/papers/6a7cdcbb13f8126410a1e34dhttps://doi.org/10.5811/westjem.2015.6.25752
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