Positive Impact of an Interdisciplinary Chest Pain Initiative on Traditionally Underserved Populations
| Autor: | LeRoy E. Rabbani, Robert R. Sciacca, James Giglio, Steven R. Bergmann, Joseph Tenenbaum, Eileen Hurley, Angelo B. Biviano, Eliot J. Lazar, Jennifer Sullivan, Mary Cooper |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Bypass grafting business.industry MEDLINE Disease medicine.disease Chest pain Underserved Population medicine.anatomical_structure Internal medicine Physical therapy Medicine In patient Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 4:3-9 |
| ISSN: | 1535-282X |
| DOI: | 10.1097/01.hpc.0000155273.96879.c9 |
| Popis: | BACKGROUND We assessed the clinical impact of an interdisciplinary, cardiac nurse practitioner-facilitated chest pain (CP) initiative that stresses an early invasive approach for patients with CP with acute coronary syndromes in traditionally underserved patient populations, including females, blacks, Hispanics, and patients older than 60 years. METHODS Two groups of patients were identified: Pre-CP initiative (December 1999-February 2000) and post-CP initiative (December 2000-February 2001). RESULTS Analysis of 714 patients revealed significantly more cardiac diagnoses post-CP initiative (61% pre-CP initiative vs. 73% post-CP initiative, P = 0.002), including in patients with myocardial infarction (MI) who were older than 60 years, females, and Hispanics. There was a significant increase in rates of cardiac catheterizations within 1 week of admission (10.5% vs. 20.4%, P |
| Databáze: | OpenAIRE |
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