Table 3.
Inclusion of each item according to care team
| Variable | Cardiology (N = 151) | Teaching (N = 60) | Nonteaching (N = 41) | Entire cohort (N = 252) | P value |
|---|---|---|---|---|---|
| Chief complaint | 119 (79%) | 53 (88%) | 29 (71%) | 201 (80%) | 0.09 |
| Type and duration of pain | 128 (85%) | 46 (77%) | 28 (68%) | 202 (80%) | 0.05b |
| Associated symptoms | 124 (82%) | 51 (85%) | 33 (80%) | 208 (83%) | 0.82 |
| Previous occurrence | 78 (52%) | 22 (37%) | 10 (24%) | 110 (44%) | 0.004b |
| Past medical history | 149 (99%) | 59 (98%) | 40 (98%) | 248 (98%) | 0.79 |
| Recent lipids or A1C | 27 (18%) | 19 (32%) | 11 (27%) | 57 (23%) | 0.08 |
| Previous stress test or angiogram | 52 (34%) | 18 (30%) | 9 (22%) | 79 (31%) | 0.30 |
| Medications | 149 (99%) | 59 (98%) | 40 (98%) | 248 (98%) | 0.79 |
| Allergies | 145 (96%) | 55 (92%) | 40 (98%) | 240 (95%) | 0.41 |
| Family history of CAD | 88 (58%) | 34 (57%) | 22 (54%) | 144 (57%) | 0.87 |
| Other family history | 79 (52%) | 37 (62%) | 20 (49%) | 136 (54%) | 0.36 |
| Social history of any drugs | 145 (96%) | 54 (90%) | 38 (93%) | 237 (94%) | 0.23 |
| Social history of activity | 34 (23%) | 8 (13%) | 3 (7%) | 45 (18%) | 0.046a,b |
| Vitals documented | 147 (97%) | 60 (100%) | 40 (98%) | 247 (98%) | 0.55 |
| Cardiovascular exam | 150 (99%) | 60 (100%) | 41 (100%) | 251 (100%) | 1.00 |
| Pulmonary exam | 151 (100%) | 60 (100%) | 41 (100%) | 252 (100%) | – |
| Peripheral vascular exam | 115 (76%) | 41 (68%) | 28 (68%) | 184 (73%) | 0.39 |
| Cardiac enzymes | 146 (97%) | 57 (95%) | 41 (100%) | 244 (97%) | 0.45 |
| Electrocardiogram | 137 (91%) | 55 (92%) | 34 (83%) | 226 (90%) | 0.29 |
| Chest x-ray | 80 (53%) | 43 (72%) | 27 (66%) | 150 (60%) | 0.03a |
| Hemoglobin | 118 (78%) | 52 (87%) | 37 (90%) | 207 (82%) | 0.12 |
| Lipids, glucose, or A1C | 93 (62%) | 47 (78%) | 31 (76%) | 171 (68%) | 0.03a,b |
| Differential diagnosis | 19 (13%) | 14 (23%) | 12 (29%) | 45 (18%) | 0.02b |
| Other comorbidities and treatment | 120 (79%) | 59 (98%) | 34 (83%) | 213 (85%) | 0.003a,c |
| TIMI score done | 75 (50%) | 27 (45%) | 15 (37%) | 117 (46%) | 0.32 |
| Aspirin | 140 (93%) | 57 (95%) | 36 (88%) | 233 (92%) | 0.44 |
| Beta-blocker | 141 (93%) | 55 (92%) | 37 (90%) | 233 (92%) | 0.71 |
| Statin on discharge | 140 (93%) | 54 (90%) | 40 (98%) | 234 (93%) | 0.40 |
| Anticoagulation | 133 (88%) | 49 (82%) | 31 (76%) | 213 (85%) | 0.12 |
| Glycoprotein IIb/IIIa inhibitors | 90 (60%) | 14 (23%) | 9 (22%) | 113 (45%) | <.0001a,b |
a
Significant difference between Cardiology vs. Teaching.
b
Significant difference between Cardiology vs. Nonteaching.
c
Significant difference between Teaching vs. Nonteaching.
CAD indicates coronary artery disease; TIMI, Thrombolysis in Myocardial Infarction.