Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice

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Presentation transcript:

Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice Martin P. Than, MBBS, John W. Pickering, PhD, Sally J. Aldous, MBChB, PhD, Louise Cullen, MBBS, PhD, Christopher M.A. Frampton, PhD, W. Frank Peacock, MD, Allan S. Jaffe, MD, Steve W. Goodacre, PhD, A. Mark Richards, MD, PhD, Michael W. Ardagh, PhD, Joanne M. Deely, PhD, Chris M. Florkowski, MBBS, MD, Peter George, MBBS, Gregory J. Hamilton, PhD, David L. Jardine, MBChB, DCH, Richard W. Troughton, MBChB, PhD, Pieter van Wyk, MBChB, Joanna M. Young, PhD, Laura Bannister, MBBS, Sally J. Lord, MBBS Annals of Emergency Medicine Volume 68, Issue 1, Pages 93-102.e1 (July 2016) DOI: 10.1016/j.annemergmed.2016.01.001 Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 1 Schematic illustrating earlier decisionmaking through accelerated diagnostic pathways. Light bulbs indicate clinical decision points. ACS, Acute coronary syndrome. Annals of Emergency Medicine 2016 68, 93-102.e1DOI: (10.1016/j.annemergmed.2016.01.001) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 2 CONSORT diagram of patient flow and numbers. *Some patients met multiple exclusion criteria. Annals of Emergency Medicine 2016 68, 93-102.e1DOI: (10.1016/j.annemergmed.2016.01.001) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure E1 Flowcharts of pathways followed by patients in each arm of the study. *Three Control-ADP patients had positive ECG results and 2 EDACS-ADP patients had positive ECG results (1 with an increased troponin level), and therefore they did not meet the successful discharge criteria. They were discharged on the discretion of the attending physician. Annals of Emergency Medicine 2016 68, 93-102.e1DOI: (10.1016/j.annemergmed.2016.01.001) Copyright © 2016 American College of Emergency Physicians Terms and Conditions