{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T12:34:51Z","timestamp":1715603691060},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T00:00:00Z","timestamp":1396828800000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2014,4]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>Acute coronary syndrome (ACS<\/jats:styled-content>) encompasses unstable angina (UA<\/jats:styled-content>), non\u2010ST<\/jats:styled-content> elevation myocardial infarction (NSTEMI<\/jats:styled-content>) and ST<\/jats:styled-content> segment myocardial infarction (STEMI<\/jats:styled-content>). In 2007\u20132008 in A<\/jats:styled-content>ustralia, there were 95\u2009000 hospitalisations for ACS<\/jats:styled-content>. There is limited data about the level of agreement between the ED<\/jats:styled-content> and hospital discharge diagnosis. The objective of the present study is to describe the proportion of ED<\/jats:styled-content> patients with a concordant ACS<\/jats:styled-content> hospital discharge diagnosis and determine factors associated with this.<\/jats:p><\/jats:sec>Methods<\/jats:title>The present study was a retrospective case series of consecutive presentations of patients with ACS<\/jats:styled-content> to the EDs<\/jats:styled-content> of S<\/jats:styled-content>outhern H<\/jats:styled-content>ealth, V<\/jats:styled-content>ictoria, A<\/jats:styled-content>ustralia, during a 6 month period between A<\/jats:styled-content>ugust 2011 and J<\/jats:styled-content>anuary 2012.<\/jats:p><\/jats:sec>Results<\/jats:title>One thousand and twenty\u2010eight patients diagnosed with ACS<\/jats:styled-content> in the ED<\/jats:styled-content> were identified. Hospital discharge diagnosis was recorded for 704 cases. The mean age was 63 years (SD<\/jats:styled-content> 14.5) and 69% were male. One hundred and nineteen patients (16.9%) were diagnosed with a STEMI<\/jats:styled-content>, 322 (45.7%) with a NSTEMI<\/jats:styled-content> and 263 (37.4%) with UA<\/jats:styled-content>. There were 68.3% who had a concordant discharge diagnosis of ACS<\/jats:styled-content>. An ED<\/jats:styled-content> diagnosis of STEMI<\/jats:styled-content> (87.4), E<\/jats:styled-content>nglish as the primary language (OR<\/jats:styled-content> 1.81 [1.13\u20132.89]) and chest pain as the presenting complaint (OR<\/jats:styled-content> 2.70 [1.72\u20134.23]) were associated with a concordant diagnosis of ACS<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Almost one\u2010third of patients who are admitted to the hospital with ACS<\/jats:styled-content> have a different hospital discharge diagnosis. E<\/jats:styled-content>nglish as a primary language and presenting with chest pain are associated with a more concordant diagnosis. More research needs to be performed to better understand these findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12165","type":"journal-article","created":{"date-parts":[[2014,4,8]],"date-time":"2014-04-08T01:53:02Z","timestamp":1396921982000},"page":"153-157","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute coronary syndrome diagnosis at hospital discharge: How often do we get it right in the emergency department?"],"prefix":"10.1111","volume":"26","author":[{"given":"Alex","family":"Handrinos","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Monash Health Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Braitberg","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Monash Health Melbourne Victoria Australia"},{"name":"Southern Clinical School Monash University Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian Trevor","family":"Mosley","sequence":"additional","affiliation":[{"name":"The Florey Institute of Neuroscience and Mental Health Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,7]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1260","article-title":"Acute coronary syndrome: unstable angina, and non ST elevation myocardial infarction","volume":"326","author":"Grech ED","year":"2003","journal-title":"BMJ"},{"key":"e_1_2_8_3_1","unstructured":"Australian Institute of Health and Welfare.2011.Monitoring acute coronary syndrome using national hospital data: an information paper on trends and issues. Cat. no. CVD 57. Canberra: AIHW. [Cited 18 July 2013.] Available from URL:http:\/\/www.aihw.gov.au\/publication\u2010detail\/?id=10737420977"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm355"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.02.013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31826e1058"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.985549"},{"key":"e_1_2_8_8_1","unstructured":"Australian College of Emergency Medicine.Policy on the Australasian Triage Score. [Cited 14 April 2013.] Available from URL:http:\/\/www.acem.org.au\/media\/policies_and_guidelines\/P06_Aust_Triage_Scale_\u2010_Nov_2000.pdf"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200004203421603"},{"key":"e_1_2_8_10_1","unstructured":"National Emergency Access Target (NEAT) Guidance.Emergency care Institute. New South Wales. [Cited 11 September 2013.] Available from URL:http:\/\/www.ecinsw.com.au\/neat\u2010reources"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH990141"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.1991.tb00322.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(00)02470-7"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.01.344"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1742-6723.12165","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.12165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T05:47:45Z","timestamp":1696225665000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.12165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/1742-6723.12165"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.12165","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4]]},"assertion":[{"value":"2013-10-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}