Improving stress testing compliance following chest pain presentations to the emergency department

Chung, Kyungsoon; Playford, David; Macdonald, Stephen

doi:10.1111/j.1742-6723.2012.01593.x

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…While this approach has been shown to be safe in low-risk patients, there is evidence that patient compliance with outpatient EST is poor 11 12. There does not appear to be an increase in adverse cardiac events (ACE) in the short term for these patients, but patients with significant disease have increased rates of mortality, long term, if they are not followed-up appropriately 4.…”

Section: Introductionmentioning

confidence: 99%

Compliance with stress testing in patients discharged from the emergency department following a diagnosis of low-risk chest pain

Robinson

Prabhala

2014

Heart Asia

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Objective To determine rates of compliance with outpatient stress testing in patients with a diagnosis of low-risk chest pain, reasons for non-compliance and incidence of adverse cardiac events (ACE). Methods This was a prospective study of 79 patients who were discharged from the emergency department with low-risk chest pain. Patients were followed-up by phone interview. Results 36.7% of patients completed EST within 30 days, 2.5% of patients completed their EST within the recommended 72 h. A lack of time was the most common reason for non-compliance and was seen in 32.0% of patients. 20% of ESTs were cancelled by the primary care physician (PCP). 12% of patients were non-compliant, as they believed the pain to be noncardiac. There were no documented ACEs in the study. Conclusions Compliance with EST is poor in patients with low-risk chest pain. Non-compliance is related to a number of factors including work commitments, cancellation of studies by the PCP and patients beliefs about the nature of their chest pain.

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Section: Introductionmentioning

confidence: 99%

Compliance with stress testing in patients discharged from the emergency department following a diagnosis of low-risk chest pain

Robinson

Prabhala

2014

Heart Asia

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A cohort study of chest pain patients discharged from the emergency department for early outpatient treadmill exercise stress testing

Paoloni

Ibuowo

2013

Emerg Medicine Australasia

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Complete assessment before discharge: A paradigm shift on management of patients presenting with chest pain

Mitra

Cameron

2013

Emerg Medicine Australasia

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Improving stress testing compliance following chest pain presentations to the emergency department

Abstract: Pre-booked appointment times for EST improve timely attendance among patients discharged from the ED with intermediate-risk ACS. Compliance might improve further with patient education.

Cited by 3 publications

References 19 publications

Compliance with stress testing in patients discharged from the emergency department following a diagnosis of low-risk chest pain

Compliance with stress testing in patients discharged from the emergency department following a diagnosis of low-risk chest pain

A cohort study of chest pain patients discharged from the emergency department for early outpatient treadmill exercise stress testing

Complete assessment before discharge: A paradigm shift on management of patients presenting with chest pain

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