• Emerg Med Australas · Jun 2023

    Death rates following emergency department chest pain assessment.

    • Conrad Loten, Hannah Nutt, and Neva Bull.
    • Department of Emergency Medicine, John Hunter Hospital, Hunter New England Health, Newcastle, New South Wales, Australia.
    • Emerg Med Australas. 2023 Jun 1; 35 (3): 525527525-527.

    ObjectivesWe sought to define the rate of unexpected death from acute coronary syndrome or arrhythmia in chest pain patients directly discharged from the ED.MethodsRetrospective audit of all chest pain patients at a tertiary ED for 7 years. Medical and post-mortem records of the deceased were reviewed with independent cardiologist adjudication to determine outcomes. Primary outcome measure was 28-day unexpected death secondary to acute coronary syndrome or arrhythmia.ResultsDuring the study period, 25 924 patients presented with chest pain, 292 (1.1%, 95% confidence interval [CI] 0.99-1.01%) died within 28 days. Of these, 16 680(64%, 95% CI 63.88-64.12%) were discharged by ED, two (0.01%, 95% CI 0-0.011%) of this group died from the primary outcome.ConclusionUnexpected death is very uncommon after ED discharge of chest pain patients.© 2023 Australasian College for Emergency Medicine.

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