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Effektiviserad utredning möjlig vid misstänkt akut koronart syndrom. Nya undersökningsmetoder kan ge bättre vårdkvalitet och spara resurser

Ekelund, Ulf LU ; Nilsson, Hans-Jörgen; Torffvit, Ole LU and Hansen, Jakob Lundager (2005) In Läkartidningen 102(7). p.6-464
Abstract
The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely... (More)
The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely be possible. With the structured and evidence-based use of such strategies, it is our belief that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get an earlier adequate intervention. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute Disease, Chest Pain: diagnosis, Coronary Disease: diagnosis, Coronary Disease: therapy, English Abstract, Humans, Predictive Value of Tests, Quality of Health Care, Risk Assessment
in
Läkartidningen
volume
102
issue
7
pages
6 - 464
external identifiers
  • scopus:14644435746
ISSN
0023-7205
language
English
LU publication?
yes
id
4f00a166-cb1e-44b1-bf58-6bde01821d3b (old id 134954)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15768695&dopt=Abstract
http://ltarkiv.lakartidningen.se/2005/temp/pda29821.pdf
date added to LUP
2007-07-11 15:05:40
date last changed
2017-01-01 07:05:59
@article{4f00a166-cb1e-44b1-bf58-6bde01821d3b,
  abstract     = {The immediate evaluation of patients with suspected acute coronary syndrome (ACS) in the emergency department (ED) has remained almost unchanged for decades. At the same time, therapy for established ACS has undergone a remarkable and successful change towards early active intervention. Studies show that 7 out of 10 patients admitted with a suspicion of ACS do not have it, and that 2-5% of the patients with ACS are incorrectly sent home from the ED. With new diagnostic strategies, including e.g. risk prediction algorithms, new blood samples for plaque instability, special investigations like echocardiography, myocardial perfusion imaging and magnetic resonance imaging, as well as the Chest Pain Unit concept, improvements should definitely be possible. With the structured and evidence-based use of such strategies, it is our belief that more patients can be managed as outpatients, that length of stay can be shortened for those admitted, and that some patients with ACS can get an earlier adequate intervention.},
  author       = {Ekelund, Ulf and Nilsson, Hans-Jörgen and Torffvit, Ole and Hansen, Jakob Lundager},
  issn         = {0023-7205},
  keyword      = {Acute Disease,Chest Pain: diagnosis,Coronary Disease: diagnosis,Coronary Disease: therapy,English Abstract,Humans,Predictive Value of Tests,Quality of Health Care,Risk Assessment},
  language     = {eng},
  number       = {7},
  pages        = {6--464},
  series       = {Läkartidningen},
  title        = {Effektiviserad utredning möjlig vid misstänkt akut koronart syndrom. Nya undersökningsmetoder kan ge bättre vårdkvalitet och spara resurser},
  volume       = {102},
  year         = {2005},
}