Clinical features in the emergency department can identify patients with suspected acute coronary syndromes who are safe for care in unmonitored hospital beds

Full text for this resource is not available from the Research Repository.

Kelly, Anne-Maree and Kerr, Debra (2004) Clinical features in the emergency department can identify patients with suspected acute coronary syndromes who are safe for care in unmonitored hospital beds. Internal Medicine Journal, 34 (11). pp. 594-597. ISSN 1444-0903

Abstract

Background: Standard practice for patients requiring hospital admission with suspected acute coronary syndromes (ACS) is admission to a monitored cardiology bed. The Western Hospital Chest Pain Protocol was developed to identify a subset of these patients who could be safely managed in an unmonitored bed. Aim: The objective of this prospective study of chest pain patients classified as ‘high’ or ‘intermediate’ risk by the Agency for Health Care Policy and Research/National Health and Medical Research Council guidelines was to further evaluate the safety of this protocol. Methods: This study was a prospective, observational, cohort study investigating the outcomes of patients admitted to hospital with suspected ACS. The primary outcome of interest was death or life-threatening arrhythmia within 24 h of hospital admission. Results: If the Western Hospital Chest Pain Protocol had been strictly applied, there would have been one death in the group assigned to unmonitored beds (1/750; 0.13%, 95% confidence interval 0.01−0.85%) and no other life-threatening arrhythmias. Conclusion: There is a subgroup of patients with suspected ACS who require hospital admission who can, based on clinical and biochemical features in the emergency department, be safely assigned to unmonitored beds.

Dimensions Badge

Altmetric Badge

Item type Article
URI https://vuir.vu.edu.au/id/eprint/2610
DOI https://doi.org/10.1111/j.1445-5994.2004.00650.x
Official URL http://onlinelibrary.wiley.com/doi/10.1111/j.1445-...
Subjects Historical > FOR Classification > 1110 Nursing
Historical > FOR Classification > 1199 Other Medical and Health Sciences
Historical > Faculty/School/Research Centre/Department > School of Nursing and Midwifery
Keywords ResPubID19033, chest pain, monitoring, risk stratification
Citations in Scopus 9 - View on Scopus
Download/View statistics View download statistics for this item

Search Google Scholar

Repository staff login