Key result
A cardiac CT angiography-guided algorithm for low- to intermediate-risk chest pain was safe (0% MACE in both groups) and reduced hospital readmissions (1% vs 9%, P=0.01) and ED length of stay.
Why the study?
Does a cardiac CT angiography-guided algorithm reduce length of stay and adverse events compared to standard of care in emergency department patients with low- to intermediate-risk chest pain?
Population
305 patients presenting to the emergency department with low- to intermediate-risk ischemic-type chest pain…
Comparison
Cardiac CT angiography-guided algorithm where… vs Standard of care work-up without cardiac CT…
Design
Cohort
Follow-up
mean 14.2 months
Authors
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May safely shorten ED stays and cut readmissions in low- to intermediate-risk chest pain; leaves open need for randomized confirmation before practice change.
Cohort (n=305)
Does a cardiac CT angiography-guided algorithm reduce length of stay and adverse events compared to standard of care in emergency department patients with low- to intermediate-risk chest pain?
Absolute Event Rate: 0% vs 0%
Tailoring troponin measurements to cardiac CT angiography findings safely reduces emergency department length of stay and hospital readmissions for patients with low- to intermediate-risk chest pain.
Nasis et al. (2011) conducted a cohort in Low- to intermediate-risk ischemic-type chest pain (n=305). Cardiac CT angiography-guided algorithm vs. Standard of care (SOC) work-up without cardiac CT angiography was evaluated on Deaths or cases of acute coronary syndrome. A cardiac CT angiography-guided algorithm for low- to intermediate-risk chest pain was safe (0% MACE in both groups) and reduced hospital readmissions (1% vs 9%, P=0.01) and ED length of stay.
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