1 % is unknown. At 1 method of testing for year 98% of the chest pain patients. patients reported data and only 2% had had cardiac catheterizations with 50% having to have PCI. Five years out only 212 participants provided follow-up data. Of those 212, 9 had had cardiac angiography with the need for interventions. 100% of those patients had a positive CAC score at their initial evaluation. Hess, E.P., Perry, J.J., The purpose of this This was a study that The study found that Weaknesses: 1.) The Ladouceur, P., Wells, G.A., was to determine was part of an ongoing patients who did not study was only 6 & Stiell, I.G. (2010). which patients that cohort study to have a history of months. 2.) Patients Derivation of a clinical presented to the determine whether a smoking, CHF or lung that were eligible were decision rule for chest emergency department clinical decision rule abnormalities on not enrolled due to lack radiography in emergency with either chest pain regarding chest assessment did not need of attention to detail by department patients with or potentially ACS radiography needed to a chest x-ray when they nurses and registration chest pain and possible acute needed chest be in place for patients presented with chest clerks. 3.) A low coronary syndrome. radiography. who present to triage pain to the ED. Of the number of chest x-rays CJEM: with chest pain. The 529 patients in the showed an abnormality The Journal of the Canadian study was conducted at study only 2.1% had a needing acute Association of Emergency a Canadian university chest x-ray that showed treatment. Physicians, 12(2),128-134. affiliate hospitals a need for intervention. of Evidence: emergency department This study has shown Strengths: 1.) The over a six month period that by using a patient’s study showed that ED II in 2007. Patients were medical history and could decrease their use
1 % is unknown. At 1 year 98% of the patients reported data and only 2% had had cardiac catheterizations with 50% having to have PCI. Five years out only 212 participants provided follow-up data. Of those 212, 9 had had cardiac angiography with the need for interventions. 100% of those patients had a positive CAC score at their initial evaluation. method of testing for chest pain patients. Hess, E.P., Perry, J.J., Ladouceur, P., Wells, G.A., & Stiell, I.G. (2010). Derivation of a clinical decision rule for chest radiography in emergency department patients with chest pain and possible acute coronary syndrome. CJEM: The Journal of the Canadian Association of Emergency Physicians, 12(2),128-134. of Evidence: II The purpose of this was to determine which patients that presented to the emergency department with either chest pain or potentially ACS needed chest radiography. This was a study that was part of an ongoing cohort study to determine whether a clinical decision rule regarding chest radiography needed to be in place for patients who present to triage with chest pain. The study was conducted at a Canadian university affiliate hospitals emergency department over a six month period in 2007. Patients were The study found that patients who did not have a history of smoking, CHF or lung abnormalities on assessment did not need a chest x-ray when they presented with chest pain to the ED. Of the 529 patients in the study only 2.1% had a chest x-ray that showed a need for intervention. This study has shown that by using a patient’s medical history and Weaknesses: 1.) The study was only 6 months. 2.) Patients that were eligible were not enrolled due to lack of attention to detail by nurses and registration clerks. 3.) A low number of chest x-rays showed an abnormality needing acute treatment. Strengths: 1.) The study showed that ED could decrease their use
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