Table 4.
Safety Events and Healthcare Utilization Outcomes
| HEART Pathway |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
| Low-Risk Patients |
High-Risk Patients |
Total |
Usual Care |
||||||
| Outcomes | Number, n=66 | Percent | Number n=75 | Percent | Number, n=141 | Percent. | Number, n=141 | Percent | P Value* |
| Index length of stay, h; median (IQR) | 6.4 (5.6–8.8) | … | 25.9 (11.4–46.7) | … | 9.9 (6.3–26.4) | … | 21.9 (8.4–28.2) | … | 0.013 |
| Index visit disposition | |||||||||
| Hospitalization | 19 | 28.8 | 66 | 88.0 | 85 | 60.3 | 110 | 78.1 | 0.002 |
| Observation unit | 18 | 27.3 | 25 | 33.3 | 43 | 30.5 | 62 | 44.0 | 0.31 |
| Inpatient ward (admission) | 1 | 1.5 | 41 | 54.7 | 42 | 29.8 | 48 | 34.0 | 0.52 |
| Discharge | 47 | 71.2 | 8 | 10.7 | 55 | 39.0 | 31 | 22.0 | 0.003 |
| AMA | 0 | 0 | 1 | 1.3 | 1 | 0.7 | 0 | 0 | >0.999 |
| Early discharge | 47 | 71.2 | 9 | 12.0 | 56 | 39.7 | 26 | 18.4 | 0.0001 |
| Recurrent hospital care at 30 days | |||||||||
| Repeat ED visit | 2 | 3.0 | 8 | 10.7 | 10 | 7.1 | 18 | 12.8 | 0.16 |
| Cardiac related | 0 | 0 | 4 | 5.3 | 4 | 2.8 | 6 | 4.3 | 0.75 |
| Nonindex hospitalization | 1 | 1.5 | 8 | 10.7 | 9 | 6.4 | 9 | 6.4 | >0.999 |
| Cardiac related | 0 | 0 | 5 | 6.7 | 5 | 3.6 | 4 | 2.8 | >0.999 |
| MACE at 30 days | |||||||||
| Cardiovascular death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | … |
| MI | 0 | 0 | 7 | 9.3 | 7 | 50 | 9 | 6.4 | 0.80 |
| With revascularization | 0 | 0 | 1 | 1.3 | 1 | 0.7 | 5 | 3.6 | 0.21 |
| PCI | 0 | 0 | 1 | 1.3 | 1 | 0.7 | 4 | 2.8 | 0.37 |
| CABG | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0.7 | >0.999 |
| Without revascularization | 0 | 0 | 1 | 1.3 | 1 | 0.7 | 0 | 0 | >0.999 |
| PCI | 0 | 0 | 1 | 1.3 | 1 | 0.7 | 0 | 0 | >0.999 |
| CABG | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | … |
AMA indicates against medical advice; CABG, coronary artery bypass graft; ED, emergency department; IQR, interquartile range; MACE, major adverse cardiac event; MI, myocardial infarction; and PCI, percutaneous coronary intervention.