Clinical Experience with a Decision Support Computer Program Using Bayes’ Theorem to Diagnose Chest Pain Patients

Cardiology ◽  
1999 ◽  
Vol 92 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Ottar Aase
Keyword(s):  
Decision Support ◽  
Chest Pain ◽  
Computer Program ◽  
Clinical Experience ◽  
Bayes Theorem ◽  
Pain Patients

scholarly journals Emergency medical services evaluations for chest pain during first COVID-19 lockdown in Hollands-Midden, the Netherlands

2021 ◽  
Vol 29 (4) ◽  
pp. 224-229 ◽  
Author(s):  
E. R. de Koning ◽  
M. J. Boogers ◽  
J. Bosch ◽  
M. de Visser ◽  
M. J. Schalij ◽  
...  
Keyword(s):  
Chest Pain ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Cardiac Symptoms ◽  
Emergency Medical ◽  
Time Period ◽  
Number Of Patients ◽  
St Elevation ◽  
Pain Patients ◽  
Hospital Cardiac Arrest

Abstract Objective To assess whether the COVID-19 lockdown in 2020 had negative indirect health effects, as people seem to have been reluctant to seek medical care. Methods All emergency medical services (EMS) transports for chest pain or out-of-hospital cardiac arrest (OHCA) in the Dutch region Hollands-Midden (population served > 800,000) were evaluated during the initial 6 weeks of the COVID-19 lockdown and during the same time period in 2019. The primary endpoint was the number of evaluated chest pain patients in both cohorts. In addition, the number of EMS evaluations of ST-elevation myocardial infarction (STEMI) and OHCA were assessed. Results During the COVID-19 lockdown period, the EMS evaluated 927 chest pain patients (49% male, age 62 ± 17 years) compared with 1041 patients (51% male, 63 ± 17 years) in the same period in 2019, which corresponded with a significant relative risk (RR) reduction of 0.88 (95% confidence interval (CI) 0.81–0.96). Similarly, there was a significant reduction in the number of STEMI patients (RR 0.52, 95% CI 0.32–0.85), the incidence of OHCA remained unchanged (RR 1.23, 95% CI 0.83–1.83). Conclusion During the first COVID-19 lockdown, there was a significant reduction in the number of patients with chest pain or STEMI evaluated by the EMS, while the incidence of OHCA remained similar. Although the reason for the decrease in chest pain and STEMI consultations is not entirely clear, more attention should be paid to the importance of contacting the EMS in case of suspected cardiac symptoms in possible future lockdowns.

Clinical outcomes for chest pain patients discharged home from emergency departments using high-sensitivity versus conventional cardiac troponin assays

2020 ◽  
Vol 221 ◽  
pp. 84-94 ◽  
Author(s):  
Geoffrey Lau ◽  
Maria Koh ◽  
Peter A. Kavsak ◽  
Michael J. Schull ◽  
David W.J. Armstrong ◽  
...  
Keyword(s):  
Chest Pain ◽  
Clinical Outcomes ◽  
Emergency Departments ◽  
Cardiac Troponin ◽  
High Sensitivity ◽  
Pain Patients

Measuring Patient Tolerance for Future Adverse Events in Low-Risk Emergency Department Chest Pain Patients

2014 ◽  
Vol 64 (2) ◽  
pp. 127-136.e3 ◽  
Author(s):  
Jennifer C. Chen ◽  
Richelle J. Cooper ◽  
Ana Lopez-O'Sullivan ◽  
David L. Schriger
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Adverse Events ◽  
Low Risk ◽  
Patient Tolerance ◽  
Pain Patients
Sign in / Sign up

Export Citation Format

Share Document