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Text
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URL Address
<a href="http://doi.org/10.1016/s0196-0644(05)80793-0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0196-0644(05)80793-0</a>
Pages
794–798
Issue
5
Volume
22
Dublin Core
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Title
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Emergency cardiac stress testing in the evaluation of emergency department patients with atypical chest pain.
Publisher
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Annals of emergency medicine
Date
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1993
1993-05
Subject
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*Exercise Test/economics; Acute Disease; Adult; Chest Pain/*etiology; Cost-Benefit Analysis; Emergencies; Emergency Service; Evaluation Studies as Topic; Feasibility Studies; Female; Hospital; Humans; Male; Middle Aged; Myocardial Ischemia/complications/*diagnosis; Prospective Studies; Retrospective Studies
Creator
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Kerns J R; Shaub T F; Fontanarosa P B
Description
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STUDY OBJECTIVES: To determine the feasibility, safety, and reliability of emergency cardiac treadmill exercise stress testing (CTEST) in the evaluation of emergency department patients with atypical chest pain. DESIGN: Thirty-two patients with atypical chest pain, normal ECGs, and risk factor stratification having low-probability of coronary artery disease were evaluated prospectively using outpatient, emergency CTEST. Study patients were compared with a retrospectively selected sample of admitted patients diagnosed with atypical chest pain who met the study criteria and were evaluated with CTEST as inpatients. All patients had follow-up at three and six months after evaluation. SETTING: University-affiliated community teaching hospital with 65,000 annual ED visits. RESULTS: All patients had normal CTEST. No patient had evidence of coronary artery disease, myocardial infarction, or sudden death during the follow-up period. The average length of stay was 5.5 hours for emergency CTEST patients versus two days for inpatients. The average patient charge was $467 for ED evaluation with emergency CTEST versus $2,340 for inpatient evaluation. CONCLUSION: Emergency CTEST is a safe, efficient, cost-effective, and practical method of evaluating selected ED patients with chest pain. It is a useful aid for clinical decision making and may help to prevent unnecessary hospital admissions.
Identifier
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<a href="http://doi.org/10.1016/s0196-0644(05)80793-0" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(05)80793-0</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Exercise Test/economics
1993
Acute Disease
Adult
Annals of emergency medicine
Chest Pain/*etiology
Cost-Benefit Analysis
Department of Internal Medicine
Emergencies
Emergency Service
Evaluation Studies as Topic
Feasibility Studies
Female
Fontanarosa P B
Hospital
Humans
Kerns J R
Male
Middle Aged
Myocardial Ischemia/complications/*diagnosis
NEOMED College of Medicine
Prospective Studies
Retrospective Studies
Shaub T F