Articles: hospital-emergency-service.
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The aim of the study was to assess the usefulness of systematic natriuretic peptide testing in the management of patients presenting with acute dyspnea to emergency departments (EDs). ⋯ The current evidence remains inconclusive on whether systematic natriuretic peptide testing is useful for the management of patients presenting to ED with acute dyspnea.
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Although the accuracy of B-type natriuretic peptide (BNP) testing for diagnosing acute decompensated heart failure has been extensively evaluated, the effect of this test on clinical outcomes remains unclear. ⋯ Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
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Review Meta Analysis
Accuracy and quality of clinical decision rules for syncope in the emergency department: a systematic review and meta-analysis.
We assess the methodological quality and prognostic accuracy of clinical decision rules in emergency department (ED) syncope patients. ⋯ The methodological quality and prognostic accuracy of clinical decision rules for syncope are limited. Differences in study design and ECG interpretation may account for the variable prognostic performance of the San Francisco Syncope Rule when validated in different practice settings.
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Meta Analysis
Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis.
The Thrombolysis in Myocardial Infarction (TIMI) risk score uses clinical data to predict the short-term risk of acute myocardial infarction, coronary revascularization or death from any cause. It was originally developed for use in patients with unstable angina or non-ST-elevation myocardial infarction. We sought to expand the clinical application of the TIMI risk score by assessing its prognostic accuracy in patients in the emergency department with potential acute coronary syndromes. ⋯ Although the TIMI risk score is an effective risk stratification tool for patients in the emergency department with potential acute coronary syndromes, it should not be used as the sole means of determining patient disposition.
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Trauma, violence & abuse · Apr 2010
Review Meta AnalysisPattern of physical injury associated with intimate partner violence in women presenting to the emergency department: a systematic review and meta-analysis.
To examine patterns of physical injury associated with intimate partner violence (IPV) among women presenting to emergency room departments. ⋯ Among women presenting to emergency room departments, unwitnessed head, neck, or facial injuries are significant markers for IPV. Conversely, extremity injuries are less likely to have been the consequence of IPV.