Table 2. Clinical care and outcomes before and after implementation of the updated Acute Chest Pain Optimal Care Pathway.
| Overall N = 229 | Before Algorithm Implementation N = 101 | After Algorithm Implementation N = 128 | p-value | |
|---|---|---|---|---|
| # of Troponin Labs | 0.941 | |||
| One | 114 (49.8%) | 50 (49.5%) | 64 (50.0%) | |
| Two | 115 (50.2%) | 51 (50.5%) | 64 (50.0%) | |
| ED LOS (hours) | 0.448 | |||
| Median [IQR] | 4.6 [3.6, 6.1] | 4.5 [3.8, 6.6] | 4.6 [3.5, 5.7] | |
| Unknown, N (%) | 20 (8.7%) | 11 (10.9%) | 9 (7.0%) | |
| Cardiology Consult | 0.305 | |||
| No | 220 (96.1%) | 99 (98.0%) | 121 (94.5%) | |
| Yes | 9 (3.9%) | 2 (2.0%) | 7 (5.5%) | |
| Admitted | 0.261 | |||
| No | 205 (89.5%) | 93 (92.1%) | 112 (87.5%) | |
| Yes | 24 (10.5%) | 8 (7.9%) | 16 (12.5%) | |
| MACE within 30 days | >0.999 | |||
| No MACE | 101 (100.0%) | 127 (99.2%) | ||
| MACE | 1 (0.4%) | 0 (0.0%) | 1 (0.8%) |
Notes.
P-values are based on Chi-square or Fisher’s exact tests for categorical variables and Wilcoxon rank sum tests for continuous variables.
Abbreviations
- MACE
- major adverse cardiovascular event
- ED
- emergency department
- LOS
- length of stay
- IQR
- interquartile range