P
Peter A. Smars
Researcher at Mayo Clinic
Publications - 23
Citations - 1419
Peter A. Smars is an academic researcher from Mayo Clinic. The author has contributed to research in topics: Emergency department & Chest pain. The author has an hindex of 14, co-authored 22 publications receiving 1372 citations.
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Journal ArticleDOI
A Clinical Trial of a Chest-Pain Observation Unit for Patients with Unstable Angina
Michael E. Farkouh,Peter A. Smars,Guy S. Reeder,Alan R. Zinsmeister,Roger W. Evans,Thomas D. Meloy,Stephen L. Kopecky,Marvin R. Allen,Thomas G. Allison,Raymond J. Gibbons,Sherine E. Gabriel +10 more
TL;DR: A CPU located in the emergency department can be a safe, effective, and cost-saving means of ensuring that patients with unstable angina who are considered to be at intermediate risk for cardiovascular events receive appropriate care.
Journal ArticleDOI
Syncope Evaluation in the Emergency Department Study (SEEDS) A Multidisciplinary Approach to Syncope Management
Win Kuang Shen,Wyatt W. Decker,Peter A. Smars,Deepi G. Goyal,Ann E. Walker,David O. Hodge,Jane M. Trusty,Karen M. Brekke,Arshad Jahangir,Peter A. Brady,Thomas M. Munger,Bernard J. Gersh,Stephen C. Hammill,Robert L. Frye +13 more
TL;DR: The novel syncope unit designed for this study significantly improved diagnostic yield in the emergency department and reduced hospital admission and total length of hospital stay without affecting recurrent syncope and all-cause mortality among intermediate-risk patients.
Journal ArticleDOI
A prospective, randomized trial of an emergency department observation unit for acute onset atrial fibrillation.
Wyatt W. Decker,Peter A. Smars,L. Vaidyanathan,Deepi G. Goyal,Eric T. Boie,Latha G. Stead,Douglas L. Packer,Thomas D. Meloy,Andy Boggust,Luis H. Haro,Dennis A. Laudon,Joseph K. Lobl,Annie T. Sadosty,Raquel M. Schears,Nicola E. Schiebel,David O. Hodge,Win Kuang Shen +16 more
TL;DR: An ED observation unit protocol that includes electrical cardioversion is a feasible alternative to routine hospital admission for acute onset of atrial fibrillation and results in a shorter initial length of stay.
Journal ArticleDOI
Incremental value of the leukocyte differential and the rapid creatine kinase-MB isoenzyme for the early diagnosis of myocardial infarction
Stephen P. Thomson,Raymond J. Gibbons,Peter A. Smars,Vera J. Suman,Robert V. Pierre,Robert V. Pierre,Paula J. Santrach,Nai Siang Jiang +7 more
TL;DR: It is found that myocardial infarction, but not unstable angina, often altered the leukocyte differential by elevating the neutrophil count and decreasing the lymphocyte count, which caused relative lymphocytopenia and granulocytosis, frequently without an elevation of the total leukocytes.
Journal ArticleDOI
Outcome of patients with a final diagnosis of chest pain of undetermined origin admitted under the suspicion of acute coronary syndrome: a report from the Rochester Epidemiology Project.
Laurence D. Prina,Wyatt W. Decker,Amy L. Weaver,Whitney A. High,Peter A. Smars,Giles R. Locke,Guy S. Reeder +6 more
TL;DR: In this paper, the authors assess the outcome of patients discharged with a diagnosis of chest pain of undetermined origin and to identify predisposing factors for further cardiac events, including abnormal ECG on admission, preexisting diabetes mellitus (OR 7.1; 95% CI 1.8 to 27.2), and preeXisting coronary artery disease (OR 28.4; 95 % CI 3.5 to 229.0).