FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2031780147> ?p ?o ?g. }

• W2031780147 endingPage "A63" @default.
• W2031780147 startingPage "A63.1" @default.
• W2031780147 abstract "<h3>Background</h3> NICE clinical guideline (CG 95) recommended risk stratification and management of patients presenting with chest pain of recent originusing a new protocol driven pathway. There has been variable adoption of the NICE guidance on chest pain of recent origin (CG 95) across the country and this has not been implemented in Cornwall, mainly because of the concerns regarding the increased demand for non invasive investigations and its cost implications. Patients referred with chest pain of recent onset are clinically evaluated in the specialist nurse lead rapid access chest pain clinics (RACPC). We undertook a retrospective study to compare the current practice with the NICE recommended clinical algorithm. <h3>Materials and methods</h3> 278 consecutive patients who attended the RACPC at the Royal Cornwall hospital between 1^st January and 31^st March 2013 were included in the analysis. Following initial assessment suitable patients (90%) underwent exercise tolerance testing. All the patients were then discussed with the supervising consultant cardiologist and a further management plan was decided. Based on the typicality of the chest pain and risk factors, the Pryor risk score was calculated retrospectively and patients categorised in to the five risk categories as per the NICE algorithm.The actual investigations performed were compared with the investigation suggested by the NICE guideline. The difference in cost between the two pathways was calculated and extrapolated to calculate the annual cost impact. <h3>Results</h3> The mean age was 60 years and there were 51% males. Hypercholesterolaemia (69%) was the most frequent risk factor, followed by smoking (20%) and diabetes mellitus (12%). Based on the clinical characteritics, 97 patients (35%) had non-anginal chest pain, 124 patients (45%) had atypical chest pain and 56 patients (20%) had typical cardiac chest pain. Implementing the NICE guidance will result in significantlymore patients being discharged directly to general practice, significantly more patients undergoing CT angiography or CT calcium scoring, 45% more patients having functional imaging and 39% more patients requiring invasive angiography (Figure 1) The adoption of NICE guidance will cost £68,536more per year (Figure 2). As expected the NICE guidance resulted in an increase in demand for non invasive and invasive imaging. <h3>Conclusion</h3> The implementation of NICE clinical guidance (CG 95) driven pathway will result in a greater proportion initial discharge to the community at the expense of increase demand in non invasive and invasive coronary imaging. However, the overall cost impact remains modest and an early decision can be arrived at in a significantly higher number of patients." @default.
• W2031780147 created "2016-06-24" @default.
• W2031780147 creator A5069181349 @default.
• W2031780147 creator A5072437708 @default.
• W2031780147 date "2014-05-31" @default.
• W2031780147 modified "2023-09-27" @default.
• W2031780147 title "109 Clinical and Economic Impact of Implementing the Nice Guidance on Management of Chest Pain of Recent Onset" @default.
• W2031780147 doi "https://doi.org/10.1136/heartjnl-2014-306118.109" @default.
• W2031780147 hasPublicationYear "2014" @default.
• W2031780147 type Work @default.
• W2031780147 sameAs 2031780147 @default.
• W2031780147 citedByCount "0" @default.
• W2031780147 crossrefType "journal-article" @default.
• W2031780147 hasAuthorship W2031780147A5069181349 @default.
• W2031780147 hasAuthorship W2031780147A5072437708 @default.
• W2031780147 hasConcept C126322002 @default.
• W2031780147 hasConcept C142724271 @default.
• W2031780147 hasConcept C167135981 @default.
• W2031780147 hasConcept C1862650 @default.
• W2031780147 hasConcept C194828623 @default.
• W2031780147 hasConcept C199360897 @default.
• W2031780147 hasConcept C2778704086 @default.
• W2031780147 hasConcept C2779256446 @default.
• W2031780147 hasConcept C2780182762 @default.
• W2031780147 hasConcept C41008148 @default.
• W2031780147 hasConcept C71924100 @default.
• W2031780147 hasConceptScore W2031780147C126322002 @default.
• W2031780147 hasConceptScore W2031780147C142724271 @default.
• W2031780147 hasConceptScore W2031780147C167135981 @default.
• W2031780147 hasConceptScore W2031780147C1862650 @default.
• W2031780147 hasConceptScore W2031780147C194828623 @default.
• W2031780147 hasConceptScore W2031780147C199360897 @default.
• W2031780147 hasConceptScore W2031780147C2778704086 @default.
• W2031780147 hasConceptScore W2031780147C2779256446 @default.
• W2031780147 hasConceptScore W2031780147C2780182762 @default.
• W2031780147 hasConceptScore W2031780147C41008148 @default.
• W2031780147 hasConceptScore W2031780147C71924100 @default.
• W2031780147 hasIssue "Suppl 3" @default.
• W2031780147 hasLocation W20317801471 @default.
• W2031780147 hasOpenAccess W2031780147 @default.
• W2031780147 hasPrimaryLocation W20317801471 @default.
• W2031780147 hasRelatedWork W1966014248 @default.
• W2031780147 hasRelatedWork W1993933724 @default.
• W2031780147 hasRelatedWork W2031780147 @default.
• W2031780147 hasRelatedWork W2074223390 @default.
• W2031780147 hasRelatedWork W2225225420 @default.
• W2031780147 hasRelatedWork W2408923469 @default.
• W2031780147 hasRelatedWork W2465739787 @default.
• W2031780147 hasRelatedWork W2609146430 @default.
• W2031780147 hasRelatedWork W2621247752 @default.
• W2031780147 hasRelatedWork W2899588875 @default.
• W2031780147 hasVolume "100" @default.
• W2031780147 isParatext "false" @default.
• W2031780147 isRetracted "false" @default.
• W2031780147 magId "2031780147" @default.
• W2031780147 workType "article" @default.