Original contributionHow many myocardial infarctions should we rule out?
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Care of the Patient with Chest Pain in the Observation Unit
2017, Emergency Medicine Clinics of North AmericaCitation Excerpt :Clinical decision rules and accelerated diagnostic protocols help with timely and accurate risk assessment but do not allow for immediate discharge of a majority of patients. Apprehension about preventable sudden death drives most physicians to err conservatively on the side of admission.4 The cost of these admissions, however, remains high.
Systematic Review of Economic Evaluations of Units Dedicated to Acute Coronary Syndromes
2016, Value in HealthCitation Excerpt :Table 5 presents characteristics and results of economic evaluations based on randomized clinical trials. In four of the five model-based economic evaluations, a CCU-based strategy was the main health technology in evaluation [22–25]. A CPU-based strategy was evaluated only in the study by Oluboyede et al. [26].
How to find evidence when you need it, part 4: Matching clinical questions to appropriate databases
2003, Annals of Emergency MedicineCitation Excerpt :As a result, resources restricted to issues of therapy are inappropriate. In addition, the target article was published before 1991,30 rendering the ACP Journal Club inapplicable. Under these circumstances, many users would turn to MEDLINE and might need to do an extensive search to find the one target article.
Principles of observation medicine
2001, Emergency Medicine Clinics of North AmericaCitation Excerpt :A good example is the evaluation of chest pain for acute myocardial infarction (AMI) or unstable angina (UA). The short-term mortality of a missed AMI is roughly 25%.44,47,62 Because of this, observation is generally limited to those patients whose probability of disease is low to intermediate.
Performance and potential impact of a chest pain prediction rule in a large public hospital
1999, American Journal of MedicineLikelihood ratio: A powerful tool for incorporating the results of a diagnostic test into clinical decisionmaking
1999, Annals of Emergency Medicine
Presented at the University Association for Emergency Medicine Annual Meeting in Philadelphia, May 1987.