Hospital burden of suspected acute coronary syndromes: recent trends
Kate MacIntyre,Niamh F. Murphy,J Chalmers,Simon Capewell,S Frame,Alan Finlayson,Jill P. Pell,Adam Redpath,John J.V. McMurray +8 more
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The objective of this study was to describe the changing burden of suspected ACS on the hospital sector of the National Health Service in Scotland over the period 1990–2000.Abstract:
No study has described the burden to a health service of the complete spectrum of possible acute coronary syndromes (ACS). The objective of this study was to describe the changing burden of suspected ACS on the hospital sector of the National Health Service in Scotland over the period 1990–2000.
The record linkage system for discharges from Scottish hospitals and deaths has been described previously.1 We identified all emergency hospitalisations of patients ⩾ 18 years old in Scotland between January 1990 and December 2000 where acute myocardial infarction (AMI; International classification of diseases , (ICD), ninth revision, code 410, ICD-10 I21, 22), angina (ICD-9 411, 413, ICD-10 I20, I249), or chest pain (ICD-9 786.5, ICD-10 R07) was coded as the principal diagnosis on discharge. Numbers and age and sex specific rates of discharges (and patients discharged), length of stay, revascularisation procedures, and deaths were studied. We used linear regression to examine trends in population hospitalisation rates, hospitalisation numbers, and …read more
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The impact of an acute chest pain pathway on the investigation and management of cardiac chest pain.
Mark Sweeney,Gillian Bleeze,Sarah Storey,Alexander Cairns,Alexander Taylor,Catherine Holmes,Steve Hart,Nick Lawrance,William L.G. Oldfield,Christopher S. Baker +9 more
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Sex-specific time trends in first admission to hospital for peripheral artery disease in Scotland 1991-2007
Sally C. Inglis,Sally C. Inglis,Sally C. Inglis,James Lewsey,D. Chandler,D. S. Byrne,Gordon D.O. Lowe,Kate MacIntyre +7 more
TL;DR: This study examined trends for all first hospital admissions for peripheral artery disease (PAD) in Scotland from 1991 to 2007 using the Scottish Morbidity Record.
References
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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
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S Kendrick,J Clarke +1 more
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Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care
Steve Goodacre,Jon Nicholl,Simon Dixon,Elizabeth J. Cross,Karen Angelini,Jane Arnold,Sue Revill,Thomas E Locker,Simon Capewell,Deborah Quinney,Stephen Campbell,Francis Morris +11 more
TL;DR: Care in a chest pain observation unit seems to be more effective and more cost effective than routine care for patients with acute, undifferentiated chest pain.
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“Chest pain—please admit”: is there an alternative?: A rapid cardiological assessment service may prevent unnecessary admissions
TL;DR: Any scheme which safely avoided these unnecessary admissions might save resources, reduce stress for patients, and, crucially, reduce the worrying false negatives—those missed cases of high risk coronary heart disease.
Journal ArticleDOI
A 'same day' direct-access chest pain clinic : Improved management and reduced hospitalization
TL;DR: The Chest Pain Clinic service has a higher diagnostic yield for ischaemic heart disease than open access exercise electrocardiography, provides the General Practitioner with a firm clinical diagnosis in over 90% of cases, and identifies those patients requiring further treatment and invasive investigation.