Scholarlink

Background <p>Failure to identify the underlying cause of chest pain in patients presenting to the cardiac emergency department (ED) poses a&#xa0;significant health and economic challenge. Non-typical chest pain in patients without a&#xa0;history of cardiovascular disease often leads to uncertainty regarding appropriate follow-up care.</p> Research question <p>Does outpatient follow-up consultation with a&#xa0;cardiologist impact recurrent cardiac ED visits and major adverse cardiac and cerebrovascular events (MACCE) in patients with non-typical chest pain and no prior cardiovascular history?</p> Study design and methods <p>This retrospective cohort study included 429 patients presenting to the cardiac ED with non-typical chest pain and no history of cardiovascular disease. Of these, 213 patients (49.7%) received follow-up consultations with a&#xa0;cardiologist within three months of their index ED visit. We compared rates of recurrent (cardiac) ED visits, MACCE, and healthcare resource utilization during a&#xa0;one-year follow-up between patients who received follow-up consultations and those who did not.</p> Results <p>Patients with follow-up consultations had a&#xa0;significantly higher rate of revisits to the cardiac ED (13.6% vs.&#xa0;5.1%) during the one-year follow-up period. There was no significant difference in MACCE between the two groups. Additionally, follow-up consultations were associated with an increase in healthcare resource utilization, including specialized cardiac tests.</p> Conclusion <p>This study highlights the potential drawbacks of routine follow-up consultations in this patient population and calls for further prospective research to validate these findings.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The impact of follow-up care for patients presenting with non-typical chest pain at the emergency department

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月5日

查看全文
  • Leonard Voorhout,
  • Mieneke Willems,
  • Frank Willems,
  • Sanne Heijmans,
  • Jelle Luijten,
  • Martin Hemels,
  • Ron Pisters

摘要

Background

Failure to identify the underlying cause of chest pain in patients presenting to the cardiac emergency department (ED) poses a significant health and economic challenge. Non-typical chest pain in patients without a history of cardiovascular disease often leads to uncertainty regarding appropriate follow-up care.

Research question

Does outpatient follow-up consultation with a cardiologist impact recurrent cardiac ED visits and major adverse cardiac and cerebrovascular events (MACCE) in patients with non-typical chest pain and no prior cardiovascular history?

Study design and methods

This retrospective cohort study included 429 patients presenting to the cardiac ED with non-typical chest pain and no history of cardiovascular disease. Of these, 213 patients (49.7%) received follow-up consultations with a cardiologist within three months of their index ED visit. We compared rates of recurrent (cardiac) ED visits, MACCE, and healthcare resource utilization during a one-year follow-up between patients who received follow-up consultations and those who did not.

Results

Patients with follow-up consultations had a significantly higher rate of revisits to the cardiac ED (13.6% vs. 5.1%) during the one-year follow-up period. There was no significant difference in MACCE between the two groups. Additionally, follow-up consultations were associated with an increase in healthcare resource utilization, including specialized cardiac tests.

Conclusion

This study highlights the potential drawbacks of routine follow-up consultations in this patient population and calls for further prospective research to validate these findings.