Document Detail


Inpatient telemetry does not need to be used in the management of older patients hospitalized with chest pain at low risk for in-hospital coronary events and mortality.
MedLine Citation:
PMID:  15972612     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Little is known about patients admitted with chest pain to inpatient telemetry units directly from an emergency department. METHODS: We analyzed data from 105 consecutive patients who presented with chest pain to an emergency department and who were hospitalized in an inpatient telemetry unit but who were at low risk for a coronary event. RESULTS: Telemetry yielded no information which was used to manage any patient. None of the 105 patients (0%) developed a myocardial infarction or died during hospitalization. At 4.8-year follow-up, 8 of 105 patients (8%) died. Significant risk factors for long-term mortality were age (p < .001), prior coronary artery disease (p < .05), and diabetes (p < .02). CONCLUSIONS: Inpatient telemetry was of no value in predicting short-term coronary events or mortality or long-term mortality in low-risk patients hospitalized with chest pain.
Authors:
Mohammad A Saleem; John A McClung; Wilbert S Aronow; Hari Kannam
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journals of gerontology. Series A, Biological sciences and medical sciences     Volume:  60     ISSN:  1079-5006     ISO Abbreviation:  J. Gerontol. A Biol. Sci. Med. Sci.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-23     Completed Date:  2005-08-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9502837     Medline TA:  J Gerontol A Biol Sci Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  605-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Cardiology Division, Westchester Medical Center/New York Medical College, Macy Pavilion, Room 138, Valhalla, NY 10595, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Chest Pain / diagnosis*,  mortality*,  therapy
Female
Follow-Up Studies
Geriatric Assessment
Hospital Mortality / trends*
Hospitalization
Humans
Inpatients
Male
Myocardial Infarction / diagnosis*,  mortality*,  therapy
Probability
Risk Assessment
Severity of Illness Index
Survival Analysis
Telemetry / standards*,  trends

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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