{"id":"https://openalex.org/W2165949671","doi":"https://doi.org/10.1016/s0196-0644(95)70342-x","title":"Clinical Policy for the Initial Approach to Adults Presenting With a Chief Complaint of Chest Pain, With No History of Trauma","display_name":"Clinical Policy for the Initial Approach to Adults Presenting With a Chief Complaint of Chest Pain, With No History of Trauma","publication_year":1995,"publication_date":"1995-02-01","ids":{"openalex":"https://openalex.org/W2165949671","doi":"https://doi.org/10.1016/s0196-0644(95)70342-x","mag":"2165949671","pmid":"https://pubmed.ncbi.nlm.nih.gov/7832368"},"language":"en","primary_location":{"id":"doi:10.1016/s0196-0644(95)70342-x","doi":"https://doi.org/10.1016/s0196-0644(95)70342-x","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s0196-0644(95)70342-x","pdf_url":null,"source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103565554","display_name":"Earl E. Smith","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Earl E Smith","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090093089","display_name":"G. Richard Braen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G.Richard Braen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109232871","display_name":"Stephen V. Cantrill","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stephen V Cantrill","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063950463","display_name":"William C. Dalsey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"William C Dalsey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025112482","display_name":"Francis M. Fesmire","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francis M Fesmire","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111581052","display_name":"Constance S. Greene","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Constance S Greene","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105789928","display_name":"Stephen Karas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stephen Karas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046226209","display_name":"Marvin Leibovich","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marvin Leibovich","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058114699","display_name":"Dineke Mackey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dineke Mackey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083286328","display_name":"George W Molzen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"George W Molzen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Barbara A Murphy","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Barbara A Murphy","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017828946","display_name":"Michael P Pietrzak","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael P Pietrzak","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015995918","display_name":"Daniel G Sayers","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel G Sayers","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015995918","display_name":"Daniel G Sayers","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel G Sayers","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025112482","display_name":"Francis M. Fesmire","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francis M Fesmire","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086333155","display_name":"Brian Gibler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brian W Gibler","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5103008540","display_name":"Barbara A. Murphy","orcid":"https://orcid.org/0000-0002-6376-6180","observed_orcids":["https://orcid.org/0000-0002-6376-6180"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Barbara A Murphy","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3850,"currency":"USD","value_usd":3850},"apc_paid":null,"fwci":3.0017,"has_fulltext":false,"cited_by_count":65,"citation_normalized_percentile":{"value":0.91779075,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"25","issue":"2","first_page":"274","last_page":"299"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.524399995803833,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.524399995803833,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.21639999747276306,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.06830000132322311,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chest-pain","display_name":"chest pain","score":0.9909999966621399},{"id":"https://openalex.org/keywords/emergency-department-evaluation","display_name":"emergency department evaluation","score":0.5720000267028809},{"id":"https://openalex.org/keywords/clinical-decision-rules","display_name":"clinical decision rules","score":0.5249999761581421},{"id":"https://openalex.org/keywords/non-traumatic-chest-pain","display_name":"non-traumatic chest pain","score":0.7110000252723694},{"id":"https://openalex.org/keywords/diagnostic-workup","display_name":"diagnostic workup","score":0.5260000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9654779434204102},{"id":"https://openalex.org/C2780838233","wikidata":"https://www.wikidata.org/wiki/Q836925","display_name":"Complaint","level":2,"score":0.9486505389213562},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.6078245639801025},{"id":"https://openalex.org/C2994511739","wikidata":"https://www.wikidata.org/wiki/Q336641","display_name":"Emergency physician","level":3,"score":0.5457011461257935},{"id":"https://openalex.org/C2992897362","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Clinical history","level":2,"score":0.4909220337867737},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.45115765929222107},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4088982939720154},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39595457911491394},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.33982184529304504},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.22383171319961548},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.13488125801086426},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D004635","descriptor_name":"Emergency Medicine","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016134","descriptor_name":"Organizational Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/s0196-0644(95)70342-x","doi":"https://doi.org/10.1016/s0196-0644(95)70342-x","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s0196-0644(95)70342-x","pdf_url":null,"source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:7832368","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7832368","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of emergency medicine","raw_type":"Guideline"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":117,"referenced_works":["https://openalex.org/W23076663","https://openalex.org/W39297380","https://openalex.org/W74544974","https://openalex.org/W1527393383","https://openalex.org/W1528303004","https://openalex.org/W1554503945","https://openalex.org/W1964441909","https://openalex.org/W1967144137","https://openalex.org/W1967376915","https://openalex.org/W1970418749","https://openalex.org/W1972568504","https://openalex.org/W1973442788","https://openalex.org/W1976901912","https://openalex.org/W1977697656","https://openalex.org/W1977991418","https://openalex.org/W1978418727","https://openalex.org/W1979387821","https://openalex.org/W1979785507","https://openalex.org/W1980053449","https://openalex.org/W1981515276","https://openalex.org/W1985836726","https://openalex.org/W1986741018","https://openalex.org/W1987370122","https://openalex.org/W1990689860","https://openalex.org/W1991661683","https://openalex.org/W1992559016","https://openalex.org/W1992596289","https://openalex.org/W1993131802","https://openalex.org/W1993822698","https://openalex.org/W1994666843","https://openalex.org/W1995446291","https://openalex.org/W2000066325","https://openalex.org/W2000401268","https://openalex.org/W2006731627","https://openalex.org/W2008869678","https://openalex.org/W2009344499","https://openalex.org/W2010909530","https://openalex.org/W2013624607","https://openalex.org/W2015814047","https://openalex.org/W2016102977","https://openalex.org/W2020686527","https://openalex.org/W2022225058","https://openalex.org/W2023784030","https://openalex.org/W2023861863","https://openalex.org/W2024357945","https://openalex.org/W2027925209","https://openalex.org/W2030041584","https://openalex.org/W2032235952","https://openalex.org/W2035427499","https://openalex.org/W2039862980","https://openalex.org/W2041599427","https://openalex.org/W2044588045","https://openalex.org/W2046307830","https://openalex.org/W2048148906","https://openalex.org/W2052176508","https://openalex.org/W2053294658","https://openalex.org/W2053376364","https://openalex.org/W2053674315","https://openalex.org/W2054393288","https://openalex.org/W2056796930","https://openalex.org/W2058348443","https://openalex.org/W2062162493","https://openalex.org/W2062337979","https://openalex.org/W2062884568","https://openalex.org/W2063661889","https://openalex.org/W2064263130","https://openalex.org/W2064966334","https://openalex.org/W2064966916","https://openalex.org/W2065570716","https://openalex.org/W2067350058","https://openalex.org/W2069465812","https://openalex.org/W2070320161","https://openalex.org/W2071786355","https://openalex.org/W2072228531","https://openalex.org/W2073731173","https://openalex.org/W2081913171","https://openalex.org/W2082127842","https://openalex.org/W2082429261","https://openalex.org/W2086311642","https://openalex.org/W2088750338","https://openalex.org/W2091953741","https://openalex.org/W2092592082","https://openalex.org/W2093052890","https://openalex.org/W2093350390","https://openalex.org/W2097399377","https://openalex.org/W2100299421","https://openalex.org/W2147982177","https://openalex.org/W2149668378","https://openalex.org/W2153765979","https://openalex.org/W2163359621","https://openalex.org/W2163882804","https://openalex.org/W2167858903","https://openalex.org/W2169938898","https://openalex.org/W2258535459","https://openalex.org/W2314691699","https://openalex.org/W2316990564","https://openalex.org/W2317193860","https://openalex.org/W2325460018","https://openalex.org/W2333540393","https://openalex.org/W2340237670","https://openalex.org/W2411562492","https://openalex.org/W2415831700","https://openalex.org/W2442176474","https://openalex.org/W2766350845","https://openalex.org/W3205014061","https://openalex.org/W4231755750","https://openalex.org/W4233352999","https://openalex.org/W4233642315","https://openalex.org/W4236077245","https://openalex.org/W4237269476","https://openalex.org/W4237458114","https://openalex.org/W4239876778","https://openalex.org/W4242849265","https://openalex.org/W4243799353","https://openalex.org/W4249325426","https://openalex.org/W4250910274","https://openalex.org/W4252303184"],"related_works":["https://openalex.org/W2069465812","https://openalex.org/W2007091903","https://openalex.org/W4249446304","https://openalex.org/W2115276969","https://openalex.org/W2737081370","https://openalex.org/W2291193670","https://openalex.org/W4413811630","https://openalex.org/W1991981330","https://openalex.org/W2437245279","https://openalex.org/W2010909530"],"abstract_inverted_index":null,"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}