Impact on the Care of the Emergency Department Chest Pain Patient from the Chest Pain Evaluation Registry (CHEPER) Study
作者： Louis G Graff , John Dallara , Michael A Ross , Anthony J Joseph , James Itzcovitz
DOI: 10.1016/S0002-9149(97)00422-0
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摘要: Abstract This study examines the question of whether chest pain observation units increase proportion patients with an extended evaluation for cardiac ischemia (“rule out myocardial infarction [MI] evaluation”), decrease number missed MIs, and costs. is a multiple site registry 8 established (complying American College Emergency Physician’s Observation Section’s standards) compared previous studies on without use (5 studies, 12,405 patients). A total 23,407 444,189 emergency department (5.3%) had chief complaint during period. In units, 153 2,229 (6.9%) acute MI were identified. Most (76%) discharged home hospital admission. Compared to higher underwent “rule evaluation” (67%, 95% confidence interval [CI] 66%, 68% vs 57%, CI 56%, 58%; p
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