Limitations of chest pain follow-up from an urban teaching hospital emergency department.

摘要: Abstract Close outpatient follow-up of chest pain patients released from the emergency department (ED) has been suggested as an important means detecting atypical presentations cardiac ischemia. Urban teaching hospital patient populations often have limited private physician options and rely upon standard clinic systems. We analyzed 318 30 or more years age with nontraumatic ED a large urban hospital. The planned disposition was follows: medical (136), another (76), “as needed” (98); in addition, some left against advice (AMA) (8). clinics received only 38% ( 51 136 ) referrals. No subsequent record could be found for 13% 17 referred patients. Only 17% 13 were reevaluated within seven days. Two to admitted 24 hours unstable angina 16 days after evaluation acute myocardial infarction. Of needed,” one required admission 27 evaluation. who AMA, two These findings suggest that specific measures enhance must instituted at hospitals if are closely followed release.