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Annals of Emergency Medicine
Volume 51, Issue 5
, Pages 561-570.e1
, May 2008
Do Emergency Department Patients With Possible Acute Coronary Syndrome Have Better Outcomes When Admitted to Cardiology Versus Other Services?
References
- . Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med. 2002;39:430–432
- A conceptual model of emergency department crowding. Ann Emerg Med. 2003;42:173–180
- Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 2004;11:38–50
- . Clinical review: emergency department crowding and the potential impact on the critically ill. Crit Care. 2005;9:291–295
- . National Ambulatory Medical Care Survey: 1997 Emergency Department Summary (Advance Data from Vital and Health Statistics; No. 304). Hyattsville, MD: National Center for Health Statistics; 1999;
- Outcome of acute myocardial infarction according to the specialty of the admitting physician. N Engl J Med. 1996;335:1880–1887
- A systematic review of the effects of physician specialty on the treatment of coronary disease and heart failure in the United States. Am J Med. 2000;108:216–226
- Cardiologist versus internist management of patients with unstable angina: treatment patterns and outcomes. J Am Coll Cardiol. 1995;26:577–582
- Unstable angina: specialty-related disparities in implementation of practice guidelines. Clin Cardiol. 1998;21:207–210
- . A primary care home for Americans: putting the house in order. JAMA. 2002;288:889–893
- Patients treated by cardiologists have a lower in-hospital mortality for acute myocardial infarction. J Am Coll Cardiol. 1998;32:885–889
- Generalist versus specialist care for acute myocardial infarction. Am J Cardiol. 1999;83:650–654
- Outcome following acute myocardial infarction: are differences among physician specialties the result of quality of care or case mix?. Arch Intern Med. 1999;159:1429–1436
- . Certification and specialization: do they matter in the outcome of acute myocardial infarction?. Acad Med. 2000;75:1193–1198
- Specialty of ambulatory care physicians and mortality among elderly patients after myocardial infarction. N Engl J Med. 2002;347:1678–1686
- Treatment and outcomes of acute myocardial infarction among patients of cardiologists and generalist physicians. Arch Intern Med. 1997;157:2570–2576
- Does physician specialty affect the survival of elderly patients with myocardial infarction?. Health Serv Res. 2000;35:1093–1116
- Care and outcomes of elderly patients with acute myocardial infarction by physician specialty: the effects of comorbidity and functional limitations. Am J Med. 2000;108:460–469
- Impact of unstable angina guidelines in the triage of emergency department patients with possible acute coronary syndrome. Med Decis Making. 2006;26:606–616
- Emergency physicians' fear of malpractice in evaluating patients with possible acute cardiac ischemia. Ann Emerg Med. 2005;46:525–533
- ACC key elements and data definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes: a report of the American College of Cardiology Task Force on Clinical Data Standards (Acute Coronary Syndromes Writing Committee). J Am Coll Cardiol. 2001;38:2114–2130
- Validation of case-mix measures derived from self-reports of diagnoses and health. J Clin Epidemiol. 2002;55:371–380
- Chart reviews in emergency medicine research: where are the methods?. Ann Emerg Med. 1996;27:305–308
- . Myocardial infarction redefined—A consensus document of the Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction. J Am Coll Cardiol. 2000;36:959–969
- Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromes. Ann Emerg Med. 2004;44:589–598
- Unstable Angina: Diagnosis and Management. Clinical Practice Guideline Number 10. Rockville, MD: Agency for Health Care Policy and Research, US Public Health Service, US Department of Health and Human Services; 1994;
- . Measuring Functioning and Well-being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press; 1992;
- A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am J Cardiol. 1989;64:651–654
- . Book Analysis of Incomplete Multivariate Data. New York, NY: Chapman & Hall; 1997;
- . Book Design and Analysis of Cluster Randomization Trials in Health Research. London, England: Arnold; 2000;
- . A systematic review of studies comparing myocardial infarction mortality for generalists and specialists: lessons for research and health policy. J Am Board Fam Med. 2006;19:291–302
- . Estimating causal effects from large data sets using propensity scores. Ann Intern Med. 1997;127:757–763
- . Propensity score methods for bias reduction in the comparison of a treatment or a non-randomized control group. Stat Med. 1998;17:2265–2281
- A comparison of generalist and pulmonologist care for patients hospitalized with severe chronic obstructive pulmonary disease: resource intensity, hospital costs, and survival. Am J Med. 1998;105:366–372
- . A tool for judging coronary care unit admission appropriateness valid for both real-time and retrospective use: a time-insensitive predictive instrument (TIPI) for acute cardiac ischemia: a multicenter study. Med Care. 1991;29:610–627
- Use of the Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia (A multicenter, controlled clinical trial). Ann Intern Med. 1998;129:845–855
- . Constructing a control group using multivariate matched sampling methods that incorporate the propensity score. Am Stat. 1985;39:33–38
- Validating recommendations for coronary angiography following acute myocardial infarction in the elderly: a matched analysis using propensity scores. J Clin Epidemiol. 2001;54:387–398
- . IVEware: Imputation and Variance Estimation Software: Survey Methodology Program. Ann Arbor, MI: Survey Research Center, Institute for Social Research, University of Michigan; 2005;
- Huber P. The Behavior of Maximum Likelihood Estimates under Non-Standard Conditions. Proceedings of the Fifth Berkeley Symposium on Mathematical Statistics and Probability, Berkeley, CA: University of California Press. Vol. 1. 1967.
- . Regression standard errors in clustered samples. Stata Tech Bull. 1993;13:19–23
- Adverse cardiac events in emergency department patients with chest pain six months after a negative inpatient evaluation for acute coronary syndrome. Acad Emerg Med. 2002;9:896–902
- A clinical trial of a chest-pain observation unit for patients with unstable angina. N Engl J Med. 1998;339:1882–1888
- Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ. 2004;328:254–259
- A comparison of outcomes resulting from generalist vs specialist care for a single discrete medical condition: a systematic review and methodologic critique. Arch Intern Med. 2007;167:10–20
- . Generalists and specialists caring for patients with heart disease: united we stand, divided we fall. Am J Med. 2000;108:259–261
- Trends in physician management of uncomplicated acute myocardial infarction, 1970 to 1987. Am J Cardiol. 1988;61:515–518
- Differences in the management and prognosis of patients with non-ST segment elevation acute coronary syndrome according to the department of initial admission. Rev Esp Cardiol. 2004;57:283–290
- Impact of a negative evaluation for underlying coronary artery disease on one-year resource utilization for patients admitted with potential acute coronary syndromes. Acad Emerg Med. 2004;11:1272–1277
- Value of definitive diagnostic testing in the evaluation of patients presenting to the emergency department with chest pain. Am J Cardiol. 2003;91:1410–1414
- Randomized comparison of a strategy of predischarge coronary angiography versus exercise testing in low-risk patients in a chest pain unit: in-hospital and long-term outcomes. J Am Coll Cardiol. 2001;37:2024–2049
- The value of diagnostic information to patients with chest pain suggestive of coronary artery disease. Med Decis Making. 2005;25:149–157
- . Comparing generalist and specialty care: discrepancies, deficiencies, and excess. Arch Intern Med. 1998;158:1596–1608
- . Defining the role of chest pain units. J Am Coll Cardiol. 2001;37:2050–2205
- Influence of physician specialty on care and outcome of acute coronary syndrome patients: results from CRUSADE. J Am Coll Cardiol. 2003;41:A534
- . A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology. 1983;148:839–843
- . Applied Logistic Regression. New York, NY: Wiley; 1989;
The views expressed in this article are those of the author(s) and do not necessarily represent the views of the Department of Veterans Affairs.
Supervising editor: Judd E. Hollander, MD
Author contributions: DAK was responsible for study concept and design. DAK, TPA, and MB were responsible for acquisition of the data. DAK and SLH conducted analysis and interpretation of the data. DAK drafted the article. DAK, TPA, MB, PSR, SLH, and HPS were responsible for critical revision of the article for important intellectual content. DAK and SLH were responsible for statistical analysis. DAK and HPS obtained funding. DAK and TPA supervised the study. DAK takes responsibility for the paper as a whole.
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Funded by the Agency for Healthcare Research and Quality (R01 HS10466), Robert Wood Johnson Foundation Generalist Physician Faculty Scholars Program (Dr. Katz), with supplemental support from the University of Wisconsin Department of Medicine.
Reprints not available from the author.
Publication dates:Available online August 31, 2007.
PII: S0196-0644(07)00613-0
doi: 10.1016/j.annemergmed.2007.05.016
© 2008 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
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Annals of Emergency Medicine
Volume 51, Issue 5
, Pages 561-570.e1
, May 2008
