Triage and Disposition of Patients With Acute Cardiac Symptoms
| Triage and Disposition Characteristics | 2001–2002 Control ACI-TIPI Off | 2001–2002 Intervention ACI-TIPI On | Home From Emergency Department vs All Others P Value | Any Transfer vs No Transfer P Value |
|---|---|---|---|---|
| ACI-TIPI = Acute Cardiac Ischemia Time-Insensitive Predictive Instrument; ICD-9-CM = International Classification of Disease, 9th Edition, Clinical Modification. | ||||
| No. of patients without acute cardiac ischemia | 807 | 730 | .4 | .2 |
| Transfer from emergency department, % | 5.6 | 6.8 | ||
| Transfer after admit, % | 5.1 | 6.1 | ||
| Admit, no transfer, % | 36.1 | 35.9 | ||
| Home from emergency department, no transfer, % | 53.2 | 51.2 | ||
| No. of patients with myocardial infarction (ICD-9-CM 410) | 78 | 50 | .8 | .7 |
| Transfer from emergency department, % | 19.2 | 24.0 | ||
| Transfer after admit, % | 53.8 | 46.0 | ||
| Admit, no transfer, % | 24.4 | 28.0 | ||
| Home from emergency department, no transfer, % | 2.6 | 2.0 | ||
| No. of patients with unstable angina (ICD-9-CM 411) | 56 | 49 | .3 | .3 |
| Transfer from emergency department, % | 17.9 | 20.4 | ||
| Transfer after admit, % | 37.5 | 24.5 | ||
| Admit, no transfer, % | 35.7 | 51.0 | ||
| Home from emergency department, no transfer, % | 8.9 | 4.1 | ||
| No. of patients with acute cardiac ischemia (ICD-9-CM 410, 411) | 134 | 99 | .4 | .2 |
| Transfer from emergency department, % | 18.7 | 22.2 | ||
| Transfer after admit, % | 47.0 | 35.4 | ||
| Admit, no transfer, % | 29.1 | 39.4 | ||
| Home from emergency department, no transfer, % | 5.2 | 3.0 | ||
| No. of patients with stable angina (ICD-9-CM 413) | 33 | 17 | .2 | .4 |
| Transfer from emergency department, % | 3.0 | 0.0 | ||
| Transfer after admit, % | 18.2 | 11.8 | ||
| Admit, no transfer, % | 54.6 | 47.0 | ||
| Home from emergency department, no transfer, % | 24.2 | 41.2 | ||