Why the study?
The study sought to describe the adoption, sustainability, and health services implications of implementing the IMPACT protocol for accelerated chest pain risk stratification in the emergency department.
Does the IMPACT protocol increase the proportion of patients undergoing accelerated care in adult patients presenting to the ED with chest pain?
Population
Adult patients with serial troponin testing commenced in the ED at an Australian tertiary hospital
Comparison
Post-implementation vs pre-implementation of the IMPACT protocol
Design
Pre-post study
Authors
Loading...
May support ED chest pain pathway adoption; extends Level 3 evidence but requires RCTs before practice change.
Does the IMPACT protocol increase the proportion of patients undergoing accelerated care in adult patients presenting to the ED with chest pain?
Implementation of the IMPACT protocol for chest pain assessment in the ED was rapidly adopted, leading to a sustained increase in accelerated care and modest reductions in ED assessment time and costs.
Greenslade et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: