Key result
The Accelerated Chest Pain Assessment Protocol safely reclassified 65% of intermediate-risk chest pain patients as low risk, allowing early discharge with a 1% cardiac event rate at six months.
Why the study?
Does the Accelerated Chest Pain Assessment Protocol (ACPAP) safely stratify risk in patients presenting with chest pain and intermediate-risk features?
Population
630 consecutive patients presenting to the emergency department of a metropolitan tertiary care hospital…
Design
Cohort
Follow-up
six months
Authors
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May support early discharge after reclassification; leaves open need for randomized confirmation.
Observational (n=630)
No
Does the Accelerated Chest Pain Assessment Protocol (ACPAP) safely stratify risk in patients presenting with chest pain and intermediate-risk features?
The Accelerated Chest Pain Assessment Protocol safely and effectively stratifies intermediate-risk chest pain patients, allowing early discharge of low-risk patients without missing myocardial infarctions.
Aroney et al. (2003) conducted an observational in chest pain with intermediate-risk features (n=630). Accelerated Chest Pain Assessment Protocol (ACPAP) was evaluated on Adverse cardiac events during six-month follow-up. The Accelerated Chest Pain Assessment Protocol safely reclassified 65% of intermediate-risk chest pain patients as low risk, allowing early discharge with a 1% cardiac event rate at six months.
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