胸痛观察单位减少了急性胸痛患者的住院率

Evidence-based Healthcare Pub Date : 2004-08-01 DOI:10.1016/j.ehbc.2004.05.010

Michael A Ross MD, FACEP (Commentary Author)

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引用次数: 2

摘要

问题对于急性胸痛患者，与常规护理相比，胸痛观察室的护理效果和成本效益如何？研究设计聚类随机对照试验。主要结果与常规护理相比，使用胸痛观察室（CPOU）入院的可能性显著降低（36.7%CPOU vs 53.8%常规护理；调整OR 0.49，95%CI 0.36至0.65）。6个月时，两组主要冠状动脉事件的发生率没有显著差异（3.8%CPOU vs 3.4%常规护理；差异0.4%，95%CI-2.0%至+2.7%）。CPOU每位参与者的胸痛相关护理的平均成本低于常规护理，但差异并不显著（CPOU为478英镑，常规护理为556英镑；调整后的差异为53英镑，95%置信区间为-88英镑至+194英镑）。作者的结论：胸痛观察室的护理减少了住院人数，可能比常规护理更具成本效益。

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Chest pain observation units reduce hospital admission in people with acute chest pain

Question

For people presenting with acute chest pain, how effective and cost-effective is care in a chest pain observation unit compared with routine care?

Study design

Cluster randomised controlled trial.

Main results

Hospital admissions were significantly less likely with the chest pain observation unit (CPOU) compared with routine care (36.7% CPOU vs 53.8% routine care; adjusted OR 0.49, 95% CI 0.36 to 0.65). There was no significant difference between groups in the incidence of major coronary events at 6 months (3.8% with CPOU vs 3.4% with routine care; difference 0.4%, 95% CI –2.0% to +2.7%). The mean cost of chest pain related care per participant was lower for the CPOU than for routine care, but the difference was not significant (£478 for CPOU vs £556 for routine care; adjusted difference £53, 95% CI −£88 to +£194).

Authors’ conclusions

Care in a chest pain observation unit reduces hospital admissions and may be more cost effective than routine care.

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来源期刊

Evidence-based Healthcare

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