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. 2025 Feb 28;2025(1):e202508. doi: 10.21542/gcsp.2025.8

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