Cost effective strategy to risk stratify acute chest pain cases at a district general hospital.
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چکیده
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LETTERS Cost effective strategy to risk stratify acute chest pain cases at a district general hospital I read with interest the paper by Miller et al. 1 The " high risk " patients with acute coronary syndrome are kept in hospital these days for a possible early intervention. This is in line with the FRICS-II recommendations. One of the fundamental principles of the National Service Framework (N...
متن کاملPre-hospital ECG for acute coronary syndrome in urban India: A cost-effectiveness analysis
BACKGROUND Patients with acute coronary syndrome (ACS) in India have increased pre-hospital delay and low rates of thrombolytic reperfusion. Use of ECG could reduce pre-hospital delay among patients who first present to a general practitioner (GP). We assessed whether performing ECG on patients with acute chest pain would improve long-term outcomes and be cost-effective. METHODS We created a ...
متن کاملStress echocardiography in the district hospital setting: a cost-saving analysis.
AIMS Accurate and cost-effective techniques are required for investigating patients experiencing chest pain, given the significant workload this patient cohort represents. We determined the cost impact of stress echocardiography compared with myocardial perfusion scintigraphy and coronary angiography in the investigation of patients with chest pain deemed unsuitable for exercise treadmill testi...
متن کاملCost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain.
OBJECTIVES Patients presenting to hospital with acute, undifferentiated chest pain have a low, but important, risk of significant myocardial ischaemia. Potential diagnostic strategies for patients with acute, undifferentiated chest pain vary from low cost, poor effectiveness (discharging all home) to high cost, high effectiveness (admission and intensive investigation). This paper aimed to esti...
متن کاملImpact of serum troponin measurement on triage of chest pain in a district hospital.
AIM To evaluate the impact on the clinical service of incorporating cardiac troponin T (cTnT) measurement into the existing chest pain care pathway in our district general hospital. METHODS We randomised 200 consecutive patients admitted with acute chest pain, but without ST elevation on ECG, either to our existing chest pain care pathway (pathway 1) or to a new pathway incorporating semi-qua...
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عنوان ژورنال:
- Postgraduate medical journal
دوره 79 934 شماره
صفحات -
تاریخ انتشار 2003