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Chest pain monitor: A gender comparison of diagnostic treatments in the emergency department

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Date Issued:
2003
Summary:
The purpose of this study was to detect if gender affected the diagnostic and therapeutic procedures for chest pain in an Emergency Department (ED). This study evaluated the use of a chest pain assessment, Electrocardiograph (ECG), care path protocol, myocardial markers and notification of a cardiologist for an acute myocardial infarction (AMI), as well as, elapsed time of ED arrival to 1st ECG, and 1st ECG interpretation. The eleven-month retrospective analyses used abstracted data on 1870 discharges. Chi-squared analysis and ANOVA were used to determine if a gender bias existed in the use of the different diagnostic procedures (p < 0.05). Results indicated men were not treated more aggressively on the initial presentation of chest pain in the ED. Our findings may suggest that the use of a care path protocol by well-trained ED physicians at this hospital helped in identifying the typical and atypical presentations of chest pain regardless of gender.
Title: Chest pain monitor: A gender comparison of diagnostic treatments in the emergency department.
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Name(s): Burns, Patricia A.
Florida Atlantic University, Degree grantor
Torok, Don, Thesis advisor
Type of Resource: text
Genre: Electronic Thesis Or Dissertation
Issuance: monographic
Date Issued: 2003
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 55 p.
Language(s): English
Summary: The purpose of this study was to detect if gender affected the diagnostic and therapeutic procedures for chest pain in an Emergency Department (ED). This study evaluated the use of a chest pain assessment, Electrocardiograph (ECG), care path protocol, myocardial markers and notification of a cardiologist for an acute myocardial infarction (AMI), as well as, elapsed time of ED arrival to 1st ECG, and 1st ECG interpretation. The eleven-month retrospective analyses used abstracted data on 1870 discharges. Chi-squared analysis and ANOVA were used to determine if a gender bias existed in the use of the different diagnostic procedures (p < 0.05). Results indicated men were not treated more aggressively on the initial presentation of chest pain in the ED. Our findings may suggest that the use of a care path protocol by well-trained ED physicians at this hospital helped in identifying the typical and atypical presentations of chest pain regardless of gender.
Identifier: 9780496198726 (isbn), 13023 (digitool), FADT13023 (IID), fau:9888 (fedora)
Note(s): College of Education
Thesis (M.S.)--Florida Atlantic University, 2003.
Subject(s): Chest pain
Chest--Diseases--Diagnosis
Emergency medical services--Sex differences
Held by: Florida Atlantic University Libraries
Persistent Link to This Record: http://purl.flvc.org/fcla/dt/13023
Sublocation: Digital Library
Use and Reproduction: Copyright © is held by the author with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Use and Reproduction: http://rightsstatements.org/vocab/InC/1.0/
Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.