Posts

Showing posts with the label ER

low risk chest pain: dangerous to admit

 a prospective observational study looked at a large number of low-risk patients admitted for chest pain and their outcomes ( See  chest pain low risk not admit jamaintmed 2015  in  dropbox , or  doi:10.1001 / jamainternmed.2015.1674 ). data was collected from July 2008 until July 2013 from the emergency depts (EDs) of  3 academic  mid-Western US hospitals . details: --45,416 patients were seen for chest pain, and 22,457 (49.5%) were admitted, of whom 11,230 met inclusion criteria of: primary presenting symptom of chest pain, chest tightness, chest burning or chest pressure; and two negative serial troponins, 60-420 minutes apart --primary outcome was short-term (ie, during the hospitalzation) development of life-threatening arrhythmias, inpatient ST-segment elevation MI (STEMI), cardiac or respiratory arrest, or death during hospitalization (ie, CRACE, or clinically rele...