Comparison of presenting features, diagnostic tools, hospital outcomes, and quality of care indicators in older (>65 years) to younger, men to women, and diabetics to nondiabetics with acute chest pain triaged in the emergency department
In a total of 4,843 consecutive patients admitted to an emergency department (ED) with acute chest pain over a 1-year period, presenting features, diagnostic tools, hospital outcomes, and quality-of-care indicators were compared between older (n = 1,781) and younger (n = 3,062) patients, men (n = 3,...
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| Veröffentlicht in: | The American journal of cardiology 2004-07, Vol.94 (2), p.216-219 |
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| container_title | The American journal of cardiology |
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| creator | Pelliccia, Francesco Cartoni, Domenico Verde, Monica Salvini, Paolo Petrolati, Sandro Mercuro, Giuseppe Tanzi, Pietro |
| description | In a total of 4,843 consecutive patients admitted to an emergency department (ED) with acute chest pain over a 1-year period, presenting features, diagnostic tools, hospital outcomes, and quality-of-care indicators were compared between older (n = 1,781) and younger (n = 3,062) patients, men (n = 3,095) and women (n = 1,748), and diabetics (n = 856) and nondiabetics (n = 3,987). The results showed that after critical pathway implementation, there was an increase in the use of evidence-based treatment strategies in the ED and improved outcomes in older patients, women, and diabetics, with no more differences in the length of ED stay, diagnostic accuracy for myocardial infarction in the ED, door-to-thrombolysis time, and door-to-balloon time compared with younger patients, men, and nondiabetics. |
| doi_str_mv | 10.1016/j.amjcard.2004.03.068 |
| format | Article |
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The results showed that after critical pathway implementation, there was an increase in the use of evidence-based treatment strategies in the ED and improved outcomes in older patients, women, and diabetics, with no more differences in the length of ED stay, diagnostic accuracy for myocardial infarction in the ED, door-to-thrombolysis time, and door-to-balloon time compared with younger patients, men, and nondiabetics.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2004.03.068</identifier><identifier>PMID: 15246906</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Angina Pectoris - diagnosis ; Chest Pain - diagnosis ; Critical Pathways ; Diabetic Angiopathies - diagnosis ; Echocardiography, Doppler ; Electrocardiography ; Emergency Service, Hospital - standards ; Emergency Service, Hospital - utilization ; Evidence-Based Medicine ; Exercise Test ; Female ; Humans ; Italy ; Length of Stay ; Male ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - drug therapy ; Outcome and Process Assessment (Health Care) ; Quality of Health Care ; Risk Assessment ; Thrombolytic Therapy ; Triage</subject><ispartof>The American journal of cardiology, 2004-07, Vol.94 (2), p.216-219</ispartof><rights>2004 Excerpta Medica Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-7579b6566cdf74025ef311bf4c5ad397def0eb1e62d7762953005fe97ee225e43</citedby><cites>FETCH-LOGICAL-c361t-7579b6566cdf74025ef311bf4c5ad397def0eb1e62d7762953005fe97ee225e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjcard.2004.03.068$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15246906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pelliccia, Francesco</creatorcontrib><creatorcontrib>Cartoni, Domenico</creatorcontrib><creatorcontrib>Verde, Monica</creatorcontrib><creatorcontrib>Salvini, Paolo</creatorcontrib><creatorcontrib>Petrolati, Sandro</creatorcontrib><creatorcontrib>Mercuro, Giuseppe</creatorcontrib><creatorcontrib>Tanzi, Pietro</creatorcontrib><title>Comparison of presenting features, diagnostic tools, hospital outcomes, and quality of care indicators in older (>65 years) to younger, men to women, and diabetics to nondiabetics with acute chest pain triaged in the emergency department</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>In a total of 4,843 consecutive patients admitted to an emergency department (ED) with acute chest pain over a 1-year period, presenting features, diagnostic tools, hospital outcomes, and quality-of-care indicators were compared between older (n = 1,781) and younger (n = 3,062) patients, men (n = 3,095) and women (n = 1,748), and diabetics (n = 856) and nondiabetics (n = 3,987). 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Cartoni, Domenico ; Verde, Monica ; Salvini, Paolo ; Petrolati, Sandro ; Mercuro, Giuseppe ; Tanzi, Pietro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-7579b6566cdf74025ef311bf4c5ad397def0eb1e62d7762953005fe97ee225e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Angina Pectoris - diagnosis</topic><topic>Chest Pain - diagnosis</topic><topic>Critical Pathways</topic><topic>Diabetic Angiopathies - diagnosis</topic><topic>Echocardiography, Doppler</topic><topic>Electrocardiography</topic><topic>Emergency Service, Hospital - standards</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Evidence-Based Medicine</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Humans</topic><topic>Italy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Quality of Health Care</topic><topic>Risk Assessment</topic><topic>Thrombolytic Therapy</topic><topic>Triage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pelliccia, Francesco</creatorcontrib><creatorcontrib>Cartoni, Domenico</creatorcontrib><creatorcontrib>Verde, Monica</creatorcontrib><creatorcontrib>Salvini, Paolo</creatorcontrib><creatorcontrib>Petrolati, Sandro</creatorcontrib><creatorcontrib>Mercuro, Giuseppe</creatorcontrib><creatorcontrib>Tanzi, Pietro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pelliccia, Francesco</au><au>Cartoni, Domenico</au><au>Verde, Monica</au><au>Salvini, Paolo</au><au>Petrolati, Sandro</au><au>Mercuro, Giuseppe</au><au>Tanzi, Pietro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of presenting features, diagnostic tools, hospital outcomes, and quality of care indicators in older (>65 years) to younger, men to women, and diabetics to nondiabetics with acute chest pain triaged in the emergency department</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2004-07-15</date><risdate>2004</risdate><volume>94</volume><issue>2</issue><spage>216</spage><epage>219</epage><pages>216-219</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>In a total of 4,843 consecutive patients admitted to an emergency department (ED) with acute chest pain over a 1-year period, presenting features, diagnostic tools, hospital outcomes, and quality-of-care indicators were compared between older (n = 1,781) and younger (n = 3,062) patients, men (n = 3,095) and women (n = 1,748), and diabetics (n = 856) and nondiabetics (n = 3,987). 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| subjects | Aged Angina Pectoris - diagnosis Chest Pain - diagnosis Critical Pathways Diabetic Angiopathies - diagnosis Echocardiography, Doppler Electrocardiography Emergency Service, Hospital - standards Emergency Service, Hospital - utilization Evidence-Based Medicine Exercise Test Female Humans Italy Length of Stay Male Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - drug therapy Outcome and Process Assessment (Health Care) Quality of Health Care Risk Assessment Thrombolytic Therapy Triage |
| title | Comparison of presenting features, diagnostic tools, hospital outcomes, and quality of care indicators in older (>65 years) to younger, men to women, and diabetics to nondiabetics with acute chest pain triaged in the emergency department |
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