عنوان
پدید آورنده
موضوع
رده
کتابخانه
محل استقرار
LA9423541h
انگلیسی
Triple Rule Out versus CT Angiogram Plus Stress Test for Evaluation of Chest Pain in the Emergency Department
[Article]
Sawyer, Kelly N.; Shah, Payal; Qu, Lihua; Kurz, Michael C.; Clark, Carol L.; Swor, Robert A.
Introduction: Undifferentiated chest pain in the emergency department (ED) is a diagnostic challenge. One approach includes a dedicated chest computed tomography (CT) for pulmonary embolism or dissection followed by a cardiac stress test (TRAD). An alternative strategy is a coronary CT angiogram with concurrent chest CT (Triple Rule Out, TRO). The objective of this study was to describe the ED patient course and short-term safety for these evaluation methods.Methods: This was a retrospective observational study of adult patients presenting to a large, community ED for acute chest pain who had non-diagnostic electrocardiograms (ECGs) and normal biomarkers. We collected demographics, ED length of stay, hospital costs, and estimated radiation exposures. We evaluated 30-day return visits for major adverse cardiac events.Results: A total of 829 patients underwent TRAD, and 642 patients had TRO. Patients undergoing TRO tended to be younger (mean 52.3 vs 56.5 years) and were more likely to be male (42.4% vs. 30.4%). TRO patients tended to have a shorter ED length of stay (mean 14.45 vs. 21.86 hours), to incur less cost (median
2015
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
16/5
Sawyer, Kelly N.; Shah, Payal; Qu, Lihua; Kurz, Michael C.; Clark, Carol L.; Swor, Robert A.
مطالعه متن کتاب [Article]
275578
a
Y
