Unrecognized Cardiovascular Emergencies Among Medicare Patients

Unrecognized Cardiovascular Emergencies Among Medicare Patients Key PointsQuestionOf emergency department visits attributable to imminent ruptured abdominal aortic aneurysm, acute myocardial infarction, stroke, aortic dissection, and subarachnoid hemorrhage, what proportions end in discharge home without diagnosis? FindingsIn this cohort study of Medicare claims, the proportion of missed opportunities to diagnose these conditions in the emergency department ranged from 2.3% (ruptured abdominal aortic aneurysm) to 4.5% (aortic dissection). We found no evidence for improvement across the 2007 to 2014 study time frame. MeaningAmong Medicare patients, opportunities to diagnose these conditions in the emergency department are missed infrequently, but further improvement may prove difficult. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Unrecognized Cardiovascular Emergencies Among Medicare Patients

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
D.O.I.
10.1001/jamainternmed.2017.8628
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionOf emergency department visits attributable to imminent ruptured abdominal aortic aneurysm, acute myocardial infarction, stroke, aortic dissection, and subarachnoid hemorrhage, what proportions end in discharge home without diagnosis? FindingsIn this cohort study of Medicare claims, the proportion of missed opportunities to diagnose these conditions in the emergency department ranged from 2.3% (ruptured abdominal aortic aneurysm) to 4.5% (aortic dissection). We found no evidence for improvement across the 2007 to 2014 study time frame. MeaningAmong Medicare patients, opportunities to diagnose these conditions in the emergency department are missed infrequently, but further improvement may prove difficult.

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Apr 26, 2018

References

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