Why the study?
Does the EDACS-ADP increase the proportion of patients discharged within 6 hours without 30-day MACE compared to the ADAPT-ADP in adults with suspected acute myocardial infarction?
Population
558 adults with suspected acute myocardial infarction presenting to the emergency department
Comparison
Emergency Department Assessment of Chest Pain… vs ADAPT accelerated diagnostic pathway based on…
Design
RCT, pragmatic randomized controlled trial
Follow-up
30 days
Authors
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EDACS-ADP does not increase 6-hour discharges versus ADAPT-ADP; confirms implementation barriers limit ADP benefits in routine care.
Does the EDACS-ADP increase the proportion of patients discharged within 6 hours without 30-day MACE compared to the ADAPT-ADP in adults with suspected acute myocardial infarction?
Although EDACS-ADP identified more patients as low risk compared to ADAPT-ADP, it did not result in a higher proportion of early discharges within 6 hours in routine clinical practice.
Than et al. (2016) studied this question.
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