Measured Implementation of an Accelerated Chest Pain Diagnostic Pathway in Primary Care

Abstract

greater Edmonton scores were independently predictive of longer post-surgery hospital stays with a hazard ratio for discharge of 0.87 (95% CI 0.79 to 0.95, p < 0.001)) per point. The 5 minute walk score was not significant after adjustment (p = 0.054). Conclusion: The Edmonton frail scale score predicts length of hospital stay post cardiac surgery in patients older than 65 years of age.

The assessment of acute chest pain in New Zealand rural hospitals utilising point-of-care troponin

“…5,6 This is being validated in a rural New Zealand General Practice setting. 7 adapting these data and consensus guidelines from the australasian association of Biochemists we recommend the attached pathway for use in rural areas reliant on POCtn (Fig. 1).…”

“…1). [5][6][7][8][9][10] The emergency Department assessment of Chest Pain (eDaCS) and an eCG are used to categorise patients into either 'low-risk' or 'not low-risk' groups. 9,10 Low-risk (rural general practice and rural hospitals): POCtn is performed at presentation and repeated two hours later.…”