The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up

Lee, Geraldine Anne; Dix, Samantha; Mitra, Biswadev; Coleridge, John; Cameron, Peter

doi:10.1177/1474515114537944

“…For some symptomatic individuals, no underlying pathology or cause can be detected and available treatments are not fully effective for symptom relief. These patients continue to seek treatment from emergency departments and general practice 5,6. Exacerbation of CHD symptoms can occur as a result of depression and anxiety, which are common in people with CHD and associated with poor outcome 7,8.…”

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confidence: 99%

Internet-Delivered Self-management Support for Improving Coronary Heart Disease and Self-management–Related Outcomes

Palacios

¹

,

Lee

²

,

Duaso

³

et al. 2017

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Introduction:Coronary heart disease (CHD) is associated with significant morbidity and mortality, including mental health comorbidity, which is associated with poor outcomes. Self-management is key, but there is limited access to self-management support. Internet-delivered interventions may increase access.Objective:The aim of this study was to conduct a systematic review to (1) determine the effectiveness of Internet-delivered CHD self-management support for improving CHD, mood, and self-management related outcomes and (2) identify and describe essential components for effectiveness.Method:Randomized controlled trials that met prespecified eligibility criteria were identified using a systematic search of 3 healthcare databases (Medline, PsychINFO, and Embase).Results:Seven trials, which included 1321 CHD patients, were eligible for inclusion. There was considerable heterogeneity between studies in terms of the intervention content, outcomes measured, and study quality. All 7 of the studies reported significant positive between-group effects, in particular for lifestyle-related outcomes. Personalization of interventions and provision of support to promote engagement may be associated with improved outcomes, although more data are required to confirm this. The theoretical basis of interventions was poorly developed though evidence-based behavior change interventions were used.Conclusion:More well-designed randomized controlled trials are needed. These should also explore how interventions work and how to improve participant retention and satisfaction and examine the role of personalization and support within interventions.

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“…specific age limits [51], AMI on index ED visit [43], too many return ED visits [38], language barriers [50] or a known history of coronary artery disease (CAD) [52]. Even though many of these studies investigated the prevalence of AMI [53][54][55][56][57], only a few did so after a one-year follow-up [58,59].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2020

Journal of Clinical Cardiology

0

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an all-population based, one-month mortality rate of AMI between 8 to 24% [7,8] and an all-population based, one-year mortality rate of 19% [9]. Therefore, AMI has to be diagnosed or ruled out quickly. For this purpose, a fast clinical assessment including cardiac biomarker testing and the rapid execution of an electrocardiogram (ECG) are necessary. Based on the leading symptoms and clinical presentation, ECG-findings and in combination

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“…specific age limits [51], AMI on index ED visit [43], too many return ED visits [38], language barriers [50] or a known history of coronary artery disease (CAD) [52]. Even though many of these studies investigated the prevalence of AMI [53][54][55][56][57], only a few did so after a one-year follow-up [58,59].…”

Section: Introductionmentioning

confidence: 99%

Chest Pain in Repeated Emergency Department Visitors

Slankamenac¹,

Stucki²,

Keller³

2020

Journal of Clinical Cardiology

0

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an all-population based, one-month mortality rate of AMI between 8 to 24% [7,8] and an all-population based, one-year mortality rate of 19% [9]. Therefore, AMI has to be diagnosed or ruled out quickly. For this purpose, a fast clinical assessment including cardiac biomarker testing and the rapid execution of an electrocardiogram (ECG) are necessary. Based on the leading symptoms and clinical presentation, ECG-findings and in combination

show abstract

The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up

Abstract: Patients had a low risk of adverse events 12 months after discharge but substantial continuing health care utilization was observed. Complete assessment by health care professionals prior to discharge may help mitigate representations.

Cited by 4 publications

References 35 publications

Internet-Delivered Self-management Support for Improving Coronary Heart Disease and Self-management–Related Outcomes

Internet-Delivered Self-management Support for Improving Coronary Heart Disease and Self-management–Related Outcomes

Untitled

Chest Pain in Repeated Emergency Department Visitors

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