PMID- 7288989
OWN - NLM
STAT- MEDLINE
DCOM- 19811222
LR  - 20181130
IS  - 0098-7484 (Print)
IS  - 0098-7484 (Linking)
VI  - 246
IP  - 18
DP  - 1981 Nov 6
TI  - Improved criteria for admission to cardiac care units.
PG  - 2037-41
AB  - Patients requiring specialized cardiac care unit interventions (CCUIs) were 
      identified from 414 consecutive admissions with known or suspected myocardial 
      infarction (Ml). Cardiac care unit interventions included administration of 
      lidocaine hydrochloride, atropine sulfate, sodium nitroprusside, or vasopressors; 
      Swan-Ganz or arterial catheterization; insertion of temporary pacemaker; and 
      electroshock. Almost all interventions occurred in a high-risk group that had one 
      or more of three findings: (1) ongoing chest pain, (2) pulmonary rales, or (3) 
      one or more ventricular premature contractions (VPCs) on 12-lead ECG. Of 306 
      high-risk patients, 41% received at least one CCUI, and 4% died in the CCU. In 
      contrast, of the 108 low-risk patients with none of the three criteria, only 6% 
      received any CCUI, and none died in the CCU. This study suggests that patients 
      who do not have ongoing pain, congestive heart failure, of VPCs when first 
      evaluated have a very low risk of early complications and may not require 
      intensive care.
FAU - Fuchs, R
AU  - Fuchs R
FAU - Scheidt, S
AU  - Scheidt S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - JAMA
JT  - JAMA
JID - 7501160
SB  - IM
MH  - Coronary Care Units/*statistics & numerical data
MH  - Evaluation Studies as Topic
MH  - Hospital Bed Capacity, 500 and over
MH  - Humans
MH  - Length of Stay
MH  - Myocardial Infarction/complications/diagnosis/therapy
MH  - New York
MH  - *Patient Admission
MH  - Risk
MH  - Triage
EDAT- 1981/11/06 00:00
MHDA- 1981/11/06 00:01
CRDT- 1981/11/06 00:00
PHST- 1981/11/06 00:00 [pubmed]
PHST- 1981/11/06 00:01 [medline]
PHST- 1981/11/06 00:00 [entrez]
PST - ppublish
SO  - JAMA. 1981 Nov 6;246(18):2037-41.