{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T08:11:51Z","timestamp":1697443911755},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T00:00:00Z","timestamp":1355788800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2012,12]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>In order to mitigate the risk of missing atypical or low probability presentations of acute coronary syndromes (ACS<\/jats:styled-content>), many hospitals have designated resources specifically for the assessment of chest pain.<\/jats:p><\/jats:sec>Aim<\/jats:title>This study aims to evaluate the introduction of a chest pain assessment unit (CPAU<\/jats:styled-content>) in a N<\/jats:styled-content>orth Q<\/jats:styled-content>ueensland hospital.<\/jats:p><\/jats:sec>Methods<\/jats:title>Information on admission status, diagnosis, procedures, length of stay and chest pain representation rates was obtained for patients presenting with chest pain to the emergency department (ED<\/jats:styled-content>) at T<\/jats:styled-content>he T<\/jats:styled-content>ownsville H<\/jats:styled-content>ospital in the 2.5 years prior to the introduction of a CPAU<\/jats:styled-content> in M<\/jats:styled-content>arch 2007 (n<\/jats:italic> = 6665). This was compared with information on chest pain patients (n<\/jats:italic> = 7885) presenting to the ED<\/jats:styled-content> in the 2.5 years after it opened.<\/jats:p><\/jats:sec>Results<\/jats:title>The CPAU<\/jats:styled-content> resulted in a reduction in the percentage of \u2018missed\u2019 cases of ACS<\/jats:styled-content>. The rate of people who represented with chest pain at 3 months and who ultimately received an ACS<\/jats:styled-content> diagnosis reduced from 1.9% to 1.4%. There was an increased rate of apparently appropriate angiograms from 6.7% to 9.4% of chest pain admissions. The admission rate of ED<\/jats:styled-content> chest pain presentations was stable as was the median length of stay (1.14\u20131.16 days). A relative decrease in the proportion of admitted patients diagnosed with ACS<\/jats:styled-content> compared with those with unspecified chest pain was observed.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The implementation of a CPAU<\/jats:styled-content> at T<\/jats:styled-content>he T<\/jats:styled-content>ownsville H<\/jats:styled-content>ospital resulted in improved care of those presenting to the ED<\/jats:styled-content> with chest pain. Further A<\/jats:styled-content>ustralian CPAU<\/jats:styled-content> evaluations are recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1445-5994.2012.02799.x","type":"journal-article","created":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T14:48:13Z","timestamp":1333550893000},"page":"1292-1296","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of an A<\/scp>ustralian chest pain assessment unit"],"prefix":"10.1111","volume":"42","author":[{"given":"A.","family":"Sonigra","sequence":"first","affiliation":[{"name":"The Townsville Hospital Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Lawlor","sequence":"additional","affiliation":[{"name":"The Townsville Hospital Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Roberts","sequence":"additional","affiliation":[{"name":"The Townsville Hospital Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,18]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Causes of Death, Australia, 2009","author":"Australian Bureau of Statistics","year":"2011"},{"key":"e_1_2_7_3_1","volume-title":"National Chronic Disease Strategy","author":"National Health Priority Action Council (NHPAC)","year":"2006"},{"key":"e_1_2_7_4_1","first-page":"S1","article-title":"Guidelines for the management of acute coronary syndromes","volume":"184","author":"Acute Coronary Syndrome Guidelines Working Group","year":"2006","journal-title":"Med J Aust"},{"key":"e_1_2_7_5_1","unstructured":"PittsSR NiskaRW XuJ BurtCW US Department of Health and Human Services.National hospital ambulatory medical care survey: 2006 emergency department summary.2008National Health Statistics Reports Web site [cited 2010 Jan 19]. 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