2013
DOI: 10.1002/jhm.2081
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The effect of inpatient stress testing on subsequent emergency department visits, readmissions, and costs

Abstract: BACKGROUND: Patients with low-risk chest pain are frequently readmitted for evaluation of recurrent chest pain. It is unknown whether stress testing during the first admission for chest pain is a cost-effective means of reducing readmissions.

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Cited by 14 publications
(11 citation statements)
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“…The small therapeutic benefit of identifying coronary artery disease in a few is offset by significant numbers of false‐positive stress test results necessitating expensive, invasive, confirmatory testing . Although inpatient stress testing may decrease ED revisits, opponents argue whether stress testing should occur at all for most ED chest pain patients …”
Section: Relevance Of “Preventing Overdiagnosis” For Emergency Medicinementioning
confidence: 99%
“…The small therapeutic benefit of identifying coronary artery disease in a few is offset by significant numbers of false‐positive stress test results necessitating expensive, invasive, confirmatory testing . Although inpatient stress testing may decrease ED revisits, opponents argue whether stress testing should occur at all for most ED chest pain patients …”
Section: Relevance Of “Preventing Overdiagnosis” For Emergency Medicinementioning
confidence: 99%
“…Inappropriate stress testing has long been a concern in low-risk chest pain admissions; over two-thirds of such patients undergo stress testing prior to discharge, 11 and physicians rarely consider the patient's CAD pretest probability, resulting in an alarming number of stress tests performed without clinical indications. 12 Our finding of a statistically significant 46% decline in inappropriate exercise MPI ordering was thus particularly illuminating.…”
Section: Discussionmentioning
confidence: 99%
“…[1]. Evidences of gender-specific differences exist in the receiving pain [2], [3], indicating that sex steroid hormones play significant role in pain perception. Pain threshold is the threshold at which a system can detect a painful stimulus [4], followed by signaling the pathways resulting in pain perception.…”
Section: Introductionmentioning
confidence: 99%