Journal of the American Association of Nurse Practitioners

Volume 28, Issue 11 pp. 591-595

OUTCOMES RESEARCH

Effectiveness and outcomes of a nurse practitioner–run chest pain evaluation unit

Zahra Zhu BA,

Zahra Zhu BA

(Student)

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

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Sirajul Islam BA,

Sirajul Islam BA

(Student)

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

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Steven R. Bergmann MD, PhD,

Corresponding Author

Steven R. Bergmann MD, PhD

(Chief of Cardiology)

[email protected]

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

Department of Medicine, The Pat and Jim Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut

Department of Diagnostic Imaging and Therapeutics, University of Connecticut School of Medicine, Farmington, Connecticut

Correspondence Steven R. Bergmann, MD, PhD, The Pat and Jim Calhoun Cardiology Center, 11 South Road, Mail Code 6235, Farmington, CT 06032-6235. Tel: 860-679-2312; Fax: 860-679-1640; E-mail: [email protected]Search for more papers by this author

Zahra Zhu BA,

Zahra Zhu BA

(Student)

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

Search for more papers by this author

Sirajul Islam BA,

Sirajul Islam BA

(Student)

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

Search for more papers by this author

Steven R. Bergmann MD, PhD,

Corresponding Author

Steven R. Bergmann MD, PhD

(Chief of Cardiology)

[email protected]

Thomas Killip Division of Cardiology, Department of Medicine, Mount Sinai Beth Israel Medical Center, New York

Department of Medicine, The Pat and Jim Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut

Department of Diagnostic Imaging and Therapeutics, University of Connecticut School of Medicine, Farmington, Connecticut

First published: 19 May 2016

https://doi.org/10.1002/2327-6924.12377

Citations: 1

Disclosure: There are no financial conflicts of interest by any author.

Both Zahra Zhu and Sirajul Islam contributed equally to this work and serve as co-first authors.

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Abstract

Background

Every year, more than 5 million patients seek medical care for chest pain.

Objective

The goal of this study was to evaluate test utilization and outcomes of a nurse practitioner (NP)-based chest pain unit and compare results to data previously reported from our institution.

Design, setting, and participants

The records from 814 consecutive patients with chest pain admitted to the NP-run unit were compared to the outcomes of 250 patients admitted to a separate hospitalist-run unit at a New York City hospital.

Results

Forty-four percent of patients in the NP unit underwent stress myocardial perfusion imaging (MPI) as the primary diagnostic test (compared to 22% in the hospitalist unit, p < .0001). The average length of stay was shorter for patients in the NP unit (2.7 ± 3.6 days compared to 3.9 ± 3.4 days, p < .0001). Additionally, the 90-day readmission rate was less for patients in the NP unit (2.7% vs. 3.9%, p < .0006).

Conclusions

An NP-run chest pain unit resulted in decreased length of stay and reduced readmission rates compared to a hospitalist-based unit.

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Volume28, Issue11

November 2016

Pages 591-595

Effectiveness and outcomes of a nurse practitioner–run chest pain evaluation unit

Abstract

Background

Objective

Design, setting, and participants

Results

Conclusions

References

Citing Literature

References

Information

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Effectiveness and outcomes of a nurse practitioner–run chest pain evaluation unit

Abstract

Background

Objective

Design, setting, and participants

Results

Conclusions

References

Citing Literature

References

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