Influence of Pseudodiagnostic Information on the Evaluation of Ischemic Heart Disease

摘要: Abstract Study objectives: To measure the influence of classic epidemiologic risk factors (as recorded on chart) physicians' admission decisionmaking for patients with suspected acute cardiac ischemia and to compare those factors, which are limited predictive utility, predictively useful information. Design: Retrospective chart review. Setting: Emergency departments two community hospitals. Participants: Seven hundred eighty-seven evaluated ischemia, whether admitted or not. Results: Logistic regression revealed that effect a history hypertension decision (OR, 7.89; 95% CI, 4.57 13.58) was greater than ST-segment changes ECG 3.98; 2.56 6.18) infarction 2.36; 1.53 3.62). A diabetes had small 1.84; 1.01 3.36), whereas Q waves T-wave were not statistically significant. Conclusion: Physicians' decisions appeared be more heavily influenced by pseudodiagnostic information objective power. Physicians do appear distinguish from diagnostic information; education may directed at this distinction. [Green LA, Yates JF: Influence evaluation ischemic heart disease. Ann Emerg Med April 1995;25:451-457.]