Death rates following emergency department chest pain assessment

Title: Death rates following emergency department chest pain assessment
Creator: Loten, Conrad; Nutt, Hannah; Bull, Neva
Relation: Emergency Medicine Australasia Vol. 35, Issue 3, p. 525-527
Publisher Link: http://dx.doi.org/10.1111/1742-6723.14186
Publisher: Wiley-Blackwell
Resource Type: journal article
Date: 2023
Description: Objectives: We sought to define the rate of unexpected death from acute coronary syndrome or arrhythmia in chest pain patients directly discharged from the ED. Methods: Retrospective audit of all chest pain patients at a tertiary ED for 7 years. Medical and post-mortem records of the deceased were reviewed with independent cardiologist adjudication to determine outcomes. Primary outcome measure was 28-day unexpected death secondary to acute coronary syndrome or arrhythmia. Results: During the study period, 25 924 patients presented with chest pain, 292 (1.1%, 95% confidence interval [CI] 0.99–1.01%) died within 28 days. Of these, 16 680(64%, 95% CI 63.88–64.12%) were discharged by ED, two (0.01%, 95% CI 0–0.011%) of this group died from the primary outcome. Conclusion: Unexpected death is very uncommon after ED discharge of chest pain patients.
Subject: acute coronary syndrome; troponin; mortality after emergency assessment chest pain
Identifier: http://hdl.handle.net/1959.13/1486770
Identifier: uon:51949
Identifier: ISSN:1742-6731
Language: eng
Reviewed

		Thumbnail	File	Description	Size	Format