Safety and efficiency of emergency department assessment of chest discomfort.
BACKGROUND
Most Canadian emergency departments use an unstructured, individualized approach to patients with chest pain, without data to support the safety and efficiency of this practice. We sought to determine the proportions of patients with chest discomfort in emergency departments who either had acute coronary syndrome (ACS) and were inappropriately discharged from the emergency department or did not have ACS and were held for investigation.


METHODS
Consecutive consenting patients aged 25 years or older presenting with chest discomfort to 2 urban tertiary care emergency departments between June 2000 and April 2001 were prospectively enrolled unless they had a terminal illness, an obvious traumatic cause, a radiographically identifiable cause, severe communication problems or no fixed address in British Columbia or they would not be available for follow-up by telephone. At 30 days we assigned predefined explicit outcome diagnoses: definite ACS (acute myocardial infarction [AMI] or definite unstable angina) or no ACS.


RESULTS
Of 1819 patients, 241 (13.2%) were assigned a 30-day diagnosis of AMI and 157 (8.6%), definite unstable angina. Of these 398 patients, 21 (5.3%) were discharged from the emergency department without a diagnosis of ACS and without plans for further investigation. The clinical sensitivity for detecting ACS was 94.7% (95% confidence interval [CI] 92.5%- 96.9%) and the specificity 73.8% (95% CI 71.5%- 76.0%). Of the patients without ACS or an adverse event, 71.1% were admitted to hospital or held in the emergency department for more than 3 hours.


CONCLUSIONS
The current individualized approach to evaluation and disposition of patients with chest discomfort in 2 Canadian tertiary care emergency departments misses 5.3% of cases of ACS while consuming considerable health care resources for patients without coronary disease. Opportunities exist to improve both safety and efficiency.
Christenson
Jim
J
Department of Surgery, University of British Columbia, and Department of Emergency Medicine, Providence Health Care, St. Paul's Hospital, Vancouver, BC. jimchris@interchange.ubc.ca
Innes
Grant
G
McKnight
Douglas
D
Boychuk
Barb
B
Grafstein
Eric
E
Thompson
Christopher R
CR
Rosenberg
Frances
F
Anis
Aslam H
AH
Gin
Ken
K
Tilley
Jessica
J
Wong
Hubert
H
Singer
Joel
J
D000328:Adult; D000368:Aged; D002170:Canada; D002637:Chest Pain / Q000209:etiology*; D003951:Diagnostic Errors; D004636:Emergency Service, Hospital / Q000592:standards*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D019370:Observation; D010043:Outcome and Process Assessment, Health Care; D010351:Patient Discharge; D011446:Prospective Studies