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. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: Ann Emerg Med. 2019 Feb 21;74(2):171–180. doi: 10.1016/j.annemergmed.2019.01.007

Table 2-.

30-day outcomes of Emergency Department chest pain encounters pre- (May 6, 2015-May 5, 2016) and post-implementation (June 3, 2016-June 2, 2017) of a HEART care pathway.

Pre- Implementation (N=30,522) Post- Implementation (N=34,871) Difference between Pre- and Post- Implementation (95%CI)
HEART Score All Post
Low Intermediate High Total
Admission and/or Stress 13208 (43.3%) 1807 (25.1%) 2353 (51.2%) 323 (69.2%) 4483 (36.5%) 13430 (38.5%) −3.7% (−4.4%, −2.9%)
Admission to Hospital 4480 (14.7%) 172 (2.4%) 983 (21.4%) 270 (57.8%) 1425 (11.6%) 4592 (13.2%) −1.5% (−2%, −1%)
Stress Test Within 30 Days 8728 (28.6%) 1734 (24.1%) 1965 (42.8%) 180 (38.5%) 3879 (31.6%) 8838 (25.3%) −3.5% (−4.2%, −2.8%)
Expired or AMI Within 30 Days 171 (0.6%) 12 (0.2%) 27 (0.6%) 12 (2.6%) 51 (0.4%) 225 (0.6%) 0.1% (−0.0%, 0.2%)