American Journal of Cardiology
Volume 81, Issue 11 , Pages 1305-1309 , 1 June 1998

A National Survey of Emergency Department Chest Pain Centers in the United States

  • Robert J. Zalenski, MD

      Affiliations

    • Department of Emergency Medicine and Division of Cardiology, Department of Medicine, Wayne State University, Detroit, Michigan, USA
    • Department of Emergency Medicine, Cook County Hospital, University of Illinois at Chicago, Chicago, Illinois, USA
    • Division of Health Policy and Administration and the Center for Health Services Research, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA
    • Corresponding Author InformationAddress for reprints: Robert J. Zalenski, MD, Emergency Medicine, UHC 8D, Wayne State University, 4201 St. Antoine, Detroit, Michigan 48324
    • ,
  • Robert J. Rydman, PhD

      Affiliations

    • Department of Emergency Medicine, Cook County Hospital, University of Illinois at Chicago, Chicago, Illinois, USA
    • Division of Health Policy and Administration and the Center for Health Services Research, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA
    • ,
  • Sue Ting, MD

      Affiliations

    • National Institute for Occupational Safety and Health, University of Cincinnati, Department of Occupational and Environmental Medicine, Cincinnati, Ohio, USA
    • ,
  • Linda Kampe (RRA)

      Affiliations

    • Department of Emergency Medicine, Cook County Hospital, University of Illinois at Chicago, Chicago, Illinois, USA
    • ,
  • Harry P. Selker, MD, MSPH

      Affiliations

    • Division of Clinical Care Research, Center for Cardiovascular Health Services Research, New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA

Received 30 July 1997 ,Revised 9 February 1998 ,Accepted 9 February 1998.

References 

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  3. The National Heart Attack Alert Program Coordinating Committee, 60 Minutes to Treatment Working Group . Emergency department (rapid identification and treatment of patients with acute myocardial infarction). Ann Emerg Med. 1994;23:311–329
  4. Lee TH, Rouan GW, Weisberg MC, Brand DA, Acampora D, Stasiulewicz C, et al  Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol. 1987;60:219–224
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  6. Gibler WB, Runyon JP, Levy RC, Sayre MR, Kacich R, Hattemer CR, et al. A rapid diagnostic and treatment center for patients with chest pain in the emergency department. Ann Emerg Med. 1995;25:1–8
  7. Bahr RD. Growth of chest pain emergency departments throughout the United States (a cardiologist’s spin on solving the heart attack problem). Coron Artery Dis. 1995;6:827–830
  8. Graff L, Joseph T, Andelman R, Bahr R, DeHart D, Espinosa J, et al. American College of Emergency Physicians information paper (chest pain units in emergency departments—a report from the Short-Term Observation Services Section). Am J Cardiol. 1995;76:1036–1039
  9. Shesser R, Smith M. The chest pain emergency department and the outpatient chest pain evaluation center (revolution or evolution?). Ann Emerg Med. 1994;23:334–341
  10. Croxson BE, Ashton T. A cost-effectiveness analysis of the treatment of end-stage renal failure. N Zealand Med J. 1990;103:171–174
  11. Gaspoz JM, Lee TH, Cook F, Weinstein MC, Cook EF, Goldman P, et al. Cost effectiveness of a new short-stay unit to “rule out” acute myocardial infarction in low-risk patients. J Am Coll Cardiol. 1994;24:1249–1259
  12. Gomez MA, Anderson JL, Karagounis LA, Muhlestein JB, Mooers FB. An emergency department-based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense (results of a randomized study (ROMIO)). J Am Coll Cardiol. 1996;28:25–33
  13. Roberts RR, Zalenski RJ, Mensah EK, Rydman RJ, Ciavarella G, Gussow L, et al  Cost of an emergency department-based accelerated diagnostic protocol vs. hospitalization in patients with chest pain (a randomized controlled trial). JAMA. 1997;278:1670–1676
  14. Zalenski RJ, Rydman RJ, McCarren M, Roberts RR, Jovanovic B, Das K, et al. Feasability of a rapid diagnostic protocol for an emergency department chest pain observation unit. Ann Emerg Med. 1997;27:99–108

☆ This study was supported in part by an unrestricted grant from the St. Agnes Medical Foundation to the Center for Health Services Research, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.

PII: S0002-9149(98)00159-3

American Journal of Cardiology
Volume 81, Issue 11 , Pages 1305-1309 , 1 June 1998

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