Introduction of an accelerated diagnostic protocol in the assessment of emergency department patients with possible acute coronary syndrome: The Nambour Short Low-Intermediate Chest pain project

George, Terry, Ashover, Sarah, Cullen, Louise, Larsen, Peter, Gibson, Jason, Bilesky, Jennifer, Coverdale, Steven and Parsonage, William (2013) Introduction of an accelerated diagnostic protocol in the assessment of emergency department patients with possible acute coronary syndrome: The Nambour Short Low-Intermediate Chest pain project. Emergency Medicine Australasia, 25 4: 340-344. doi:10.1111/1742-6723.12091

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Author George, Terry
Ashover, Sarah
Cullen, Louise
Larsen, Peter
Gibson, Jason
Bilesky, Jennifer
Coverdale, Steven
Parsonage, William
Title Introduction of an accelerated diagnostic protocol in the assessment of emergency department patients with possible acute coronary syndrome: The Nambour Short Low-Intermediate Chest pain project
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
1742-6723
Publication date 2013-08
Sub-type Article (original research)
DOI 10.1111/1742-6723.12091
Open Access Status
Volume 25
Issue 4
Start page 340
End page 344
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2014
Language eng
Formatted abstract
Emergency physicians can feel pressured by opposing forces of clinical reality and the need to publish successful key performance indicators in an environment of increasing demands and cost containment. This is particularly relevant to management of patients with undifferentiated chest pain and possible acute coronary syndrome. Unreliability of clinical assessment and high risk of adverse outcomes for all concerned exist, yet national guidelines are at odds with efforts to reduce ED crowding and access block. We report findings from the Nambour Short Low-Intermediate Chest pain risk trial, which safely introduced an accelerated diagnostic protocol with reduced ED length of stay and high patient acceptability. Over a 7-month period, there were no major adverse cardiac events by 30 days in 19% of undifferentiated chest pain presentations with possible acute coronary syndrome discharged after normal sensitive cardiac troponin taken 2 h after presentation and scheduled to return for outpatient exercise stress test.
Keyword Acute coronary syndrome
Chest pain
Length of stay
Risk assessment
Troponin
New-zealand guidelines
National-heart-foundation
Australia/cardiac society
Management
Biomarker
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
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