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- W1605788874 abstract "Introduction: The HEART Pathway is a decision aid designed to identify emergency department (ED) patients with acute chest pain for early discharge. This trial compares the efficacy of the HEART Pathway versus usual care (UC) for ED chest pain risk stratification. Hypothesis: The HEART Pathway will increase the early discharge rate of ED patients with chest pain by ≤20% compared to UC without missing major adverse cardiac events (MACE) at 30 days. Methods: Adult ED patients with chest pain concerning for acute coronary syndrome without ST-elevation on initial electrocardiogram were randomized to the HEART pathway or UC (based on ACC/AHA guidelines). In the HEART Pathway arm, ED providers used the HEART Score, a validated risk stratification tool, and troponins at 0 and 3 hours to identify patients for early discharge. Outcomes included rate of early discharge (ED discharge without objective testing), rate of objective cardiac testing (stress testing or angiography), index hospital length of stay (LOS), an..." @default.
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- W1605788874 date "2014-11-25" @default.
- W1605788874 modified "2023-09-22" @default.
- W1605788874 title "Abstract 15353: The HEART Pathway Randomized Trial: Identifying Emergency Department Patients with Acute Chest Pain for Early Discharge" @default.
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