Annals of Emergency Medicine
Volume 54, Issue 1 , Pages 17-25 , July 2009

An Analysis of the Association of Society of Chest Pain Centers Accreditation to American College of Cardiology/American Heart Association Non–ST-Segment Elevation Myocardial Infarction Guideline Adherence

  • Abhinav Chandra, MD

      Affiliations

    • Duke University Medical Center, Durham, NC
    • Corresponding Author InformationAddress for correspondence: Abhinav Chandra, MD, DUMC Box 3096, Durham, NC 27710; 919-416-8201, fax 919-681-8521
    • ,
  • Seth W. Glickman, MD, MBA

      Affiliations

    • Duke University Medical Center, Durham, NC
    • ,
  • Fang-Shu Ou, MS

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • ,
  • W. Frank Peacock, MD

      Affiliations

    • The Cleveland Clinic, Cleveland, OH
    • ,
  • James K. McCord, MD

      Affiliations

    • Henry Ford Heart and Vascular Institute, Detroit, MI
    • ,
  • Charles B. Cairns, MD

      Affiliations

    • University of North Carolina, Chapel Hill, NC
    • ,
  • Eric D. Peterson, MD, MPH

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • ,
  • E. Magnus Ohman, MD

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • ,
  • W. Brian Gibler, MD

      Affiliations

    • University of Cincinnati, College of Medicine, Cincinnati, OH
    • ,
  • Matthew T. Roe, MD, MHS

      Affiliations

    • Duke Clinical Research Institute, Durham, NC

Received 4 August 2008 ,Revised 12 January 2009 ,Accepted 26 January 2009.

References 

  1. Nawar EW, Niska RW, Xu J. National Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Adv Data No. 386. Hyattsville, MD: US Dept of Health and Human Services; 2007;
  2. Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA 2002 guideline update for the management of patients with unstable angina and non–ST-segment elevation myocardial infarction—summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on the Management of Patients With Unstable Angina). J Am Coll Cardiol. 2002;40:1366–1374
  3. Peterson ED, Roe MT, Mulgund J, et al. Association between hospital performance and outcomes among patients with acute coronary syndromes. JAMA. 2006;295:1912–1920
  4. Katz DA, Dawson J, Beshansky JR, et al. Does concordance with guideline triage recommendations affect clinical care of patients with possible acute coronary syndrome?. Med Decis Making. 2007;27:423–437
  5. Accreditation Process for the Society of Chest Pain Centers Web Site. http://www.scpcp.org/Accreditation/ChestPainCenters/tabid/60/Default.aspxAccessed February 20, 2009
  6. Hoekstra JW, Pollack CV, Roe MT, et al. Improving the care of patients with non–ST-elevation acute coronary syndromes in the emergency department: the CRUSADE initiative. Acad Emerg Med. 2002;9:1146–1155
  7. Mehta RH, Roe MT, Chen AY, et al. Recent trends in the care of patients with non–ST-segment elevation acute coronary syndromes: insights from the CRUSADE Initiative. Arch Intern Med. 2006;166:2027–2034
  8. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13–22
  9. Armstrong PW, Fu Y, Chang WC, et al. Acute coronary syndromes in the GUSTO-IIb trial: prognostic insights and impact of recurrent ischemia. Circulation. 1998;98:1860–1868
  10. Kwong RY, Schussheim AE, Rekhraj S, et al. Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 2003;107:531–537
  11. McCord J, Nowak RM, Hudson MP, et al. The prognostic significance of serial myoglobin, troponin I, and creatine kinase-MB measurements in patients evaluated in the emergency department for acute coronary syndrome. Ann Emerg Med. 2003;42:343–350
  12. Fesmire FM, Hughes AD, Fody EP, et al. The Erlanger chest pain evaluation protocol: a one-year experience with serial 12-lead ECG monitoring, two-hour delta serum marker measurements, and selective nuclear stress testing to identify and exclude acute coronary syndromes. Ann Emerg Med. 2002;40:584–594
  13. Gibler WB, Blomkalns AL, Collins SP. Evaluation of chest pain and heart failure in the emergency department: impact of multimarker strategies and B-type natriuretic peptide. Rev Cardiovasc Med. 2003;4:S47–S55
  14. Blomkalns AL, Gibler WB. Chest pain unit concept: rationale and diagnostic strategies. Cardiol Clin. 2005;23:411–421
  15. Chen YP, Peto R, Collins R, et al. COMMIT (ClOpidogrel and Metoprolol in Myocardial Infarction Trial) collaborative group Early intravenous then oral metoprolol in 45,852 patients with acute myocardial infarction: randomised placebo-controlled trial. Lancet. 2005;366:1622–1632
  16. Ross M, Lesikar S, Peacock WF, et al. Chest Pain Center accreditation is associated with better performance of Center for Medicare and Medicaid Services core measures for acute myocardial infarction. Acad Emerg Med. 2007;14(suppl 1):55–56

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 Supervising editor: Keith A. Marill, MD

 Author contributions: AC was responsible for study conception and design and drafting of the article. F-SO was responsible for analysis and interpretation of data. AC, SWG, F-SO, WFP, JKM, CBC, EDP, EMO, WBG, and MTR revised article critically for important intellectual content. AC, SWG, F-SO, WFP, JKM, CBC, EDP, EMO, WBG, and MTR were responsible for final approval of the submitted article. AC 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. CRUSADE is funded by the Schering-Plough Corporation. Bristol-Myers Squibb/Sanofi-Aventis Pharmaceuticals Partnership provides additional funding support. Millennium Pharmaceuticals, Inc., also funded this work. WFP and JKM are directly involved with the Society of Chest Pain Centers. No other conflict of interest exists as related to the topic of this manuscript.

 Publication date: Available online March 12, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)00105-X

doi: 10.1016/j.annemergmed.2009.01.025

Annals of Emergency Medicine
Volume 54, Issue 1 , Pages 17-25 , July 2009

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