Featured Research

from universities, journals, and other organizations

New CT Technology Offer Roadmap To Quicker, Cheaper Chest Pain Screening In Emergency Rooms

Date:
May 31, 2008
Source:
University of Pennsylvania School of Medicine
Summary:
Eight million Americans visit US emergency departments for chest pain each year. Just five to 15 percent of them are found to be suffering from heart attacks or other cardiac diseases, but more than half are admitted to the hospital for observation and further testing. Computed tomography angiography offers a way to more quickly and cost effectively identify patients at low-risk of cardiac problems that lead to heart attacks, according to the new University of Pennsylvania School of Medicine research.

Eight million Americans visit U.S. emergency departments for chest pain each year. Although just five to 15 percent of them are found to be suffering from heart attacks or other cardiac diseases, more than half of these patients are admitted to the hospital for observation and further testing.

Computed tomography angiography (CTA), however, offers a way to more quickly and cost effectively identify patients at low-risk of cardiac problems like the blocked arteries that lead to heart attacks, according to the new University of Pennsylvania School of Medicine research. Penn experts will present research findings that could come to define new standards of emergency diagnostics and care at this week's annual meeting of the Society for Academic Emergency Medicine, the foremost professional society representing physicians who care for acutely ill and injured patients.

CTA has been the subject of debate within the Center for Medicare & Medicaid Services, which has yet to make a decision on whether to pay for the test in emergency room settings. Anna Marie Chang, MD, a physician in Penn's department of Emergency Medicine, and her colleagues studied 568 Hospital of the University of Pennsylvania chest pain patients who were screened for acute coronary syndromes using high-resolution CT scans (CT angiography, or CTA). Negative scans -- those showing no evidence of dangerous blockages in the coronary arteries -- were found to be an accurate, quick method of identifying patients who are safe to be immediately discharged from the emergency department.

Thirty days after leaving the hospital, no patients in the study group who had negative CTAs died from cardiac related causes, had heart attacks or required the placement of cardiac stents to open blocked arteries. Previous studies, by comparison, have shown that stress testing -- the traditional screening method -- is associated with a high rate of return emergency room visits and hospital admissions.

Chang will also present findings showing that CTA is the quickest and least expensive way to identify patients at low risk of cardiac problems. Among 643 patients studied -- split into groups which received immediate CTA, CTA following time in an observation unit, stress tests or telemetry monitoring following admission to the hospital -- costs of care for CTA patients were less than half that of those who received the other tests.

Costs for patients who received immediate CTA in the emergency department averaged about $1,240, while costs of stress testing and telemetry monitoring topped $4,000 for each patient. CTA also helped get low-risk chest pain patients home faster, potentially reducing emergency room crowding -- study patients who received immediate CTA were discharged after an average of 8 hours, compared to more than 24 hours for those who received stress tests or were admitted for telemetry monitoring.


Story Source:

The above story is based on materials provided by University of Pennsylvania School of Medicine. Note: Materials may be edited for content and length.


Cite This Page:

University of Pennsylvania School of Medicine. "New CT Technology Offer Roadmap To Quicker, Cheaper Chest Pain Screening In Emergency Rooms." ScienceDaily. ScienceDaily, 31 May 2008. <www.sciencedaily.com/releases/2008/05/080529105410.htm>.
University of Pennsylvania School of Medicine. (2008, May 31). New CT Technology Offer Roadmap To Quicker, Cheaper Chest Pain Screening In Emergency Rooms. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/2008/05/080529105410.htm
University of Pennsylvania School of Medicine. "New CT Technology Offer Roadmap To Quicker, Cheaper Chest Pain Screening In Emergency Rooms." ScienceDaily. www.sciencedaily.com/releases/2008/05/080529105410.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How 'Yes Means Yes' Defines Sexual Assault

How 'Yes Means Yes' Defines Sexual Assault

Newsy (Sep. 29, 2014) Aimed at reducing sexual assaults on college campuses, California has adopted a new law changing the standard of consent for sexual activity. Video provided by Newsy
Powered by NewsLook.com
Scientists May Have Found An Early Sign Of Pancreatic Cancer

Scientists May Have Found An Early Sign Of Pancreatic Cancer

Newsy (Sep. 29, 2014) Researchers looked at 1,500 blood samples and determined people who developed pancreatic cancer had more branched chain amino acids. Video provided by Newsy
Powered by NewsLook.com
Colo. Doctors See Cluster of Enterovirus Cases

Colo. Doctors See Cluster of Enterovirus Cases

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com
Dr.'s Unsure of Cause of Fast-Spreading Virus

Dr.'s Unsure of Cause of Fast-Spreading Virus

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins