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Outcomes of Patients Admitted for Observation of Chest Pain

Outcomes of Patients Admitted for Observation of Chest Pain ORIGINAL INVESTIGATION Outcomes of Patients Admitted for Observation of Chest Pain Srikanth C. Penumetsa, MD, MRCP; Jaya Mallidi, MD, MHS; Jennifer L. Friderici, MS; William Hiser, MD; Michael B. Rothberg, MD, MPH Background: Low-risk chest pain is a common cause derwent revascularization, and 2 (1.1%) were readmitted of hospital admission; however, to our knowledge, there for myocardial infarction. In a multivariable model, stress are no guidelines regarding the appropriate use of stress test ordering was positively associated with age younger testing in such cases. than 70 years (RR [relative risk], 1.12; 95% CI, 1.02- 1.23), private insurance (vs Medicare/Medicaid: RR, 1.19; Methods: We performed a retrospective cohort study of 95% CI, 1.11-1.27), and no house staff coverage (RR, 1.39; patients 21 years and older who were admitted to our ter- 95% CI, 1.28-1.50). Of patients with low (10%) pretest tiary care center with chest pain in 2007 and 2008. Using probability, 68.0% underwent stress testing, but only 4.5% electronic records and chart review, we sought (1) to iden- of these had abnormal test results. tify differences in the use of stress testing based on patient demographics and comorbidities, pretest probability of coro- Conclusions: Most patients who are admitted with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Outcomes of Patients Admitted for Observation of Chest Pain

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2012.940
pmid
22566486
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION Outcomes of Patients Admitted for Observation of Chest Pain Srikanth C. Penumetsa, MD, MRCP; Jaya Mallidi, MD, MHS; Jennifer L. Friderici, MS; William Hiser, MD; Michael B. Rothberg, MD, MPH Background: Low-risk chest pain is a common cause derwent revascularization, and 2 (1.1%) were readmitted of hospital admission; however, to our knowledge, there for myocardial infarction. In a multivariable model, stress are no guidelines regarding the appropriate use of stress test ordering was positively associated with age younger testing in such cases. than 70 years (RR [relative risk], 1.12; 95% CI, 1.02- 1.23), private insurance (vs Medicare/Medicaid: RR, 1.19; Methods: We performed a retrospective cohort study of 95% CI, 1.11-1.27), and no house staff coverage (RR, 1.39; patients 21 years and older who were admitted to our ter- 95% CI, 1.28-1.50). Of patients with low (10%) pretest tiary care center with chest pain in 2007 and 2008. Using probability, 68.0% underwent stress testing, but only 4.5% electronic records and chart review, we sought (1) to iden- of these had abnormal test results. tify differences in the use of stress testing based on patient demographics and comorbidities, pretest probability of coro- Conclusions: Most patients who are admitted with

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 11, 2012

References