{"id":"https://openalex.org/W2947447348","doi":"https://doi.org/10.1136/heartjnl-2019-bcs.147","title":"150 Comparing the length of stay, efficacy and safety of a new 1 hour \"rule-out\" pathway to standard care for patients presenting to the emergency departments with a suspected acute coronary syndrome at brighton and sussex university hospitals nhs trust","display_name":"150 Comparing the length of stay, efficacy and safety of a new 1 hour \"rule-out\" pathway to standard care for patients presenting to the emergency departments with a suspected acute coronary syndrome at brighton and sussex university hospitals nhs trust","publication_year":2019,"publication_date":"2019-05-01","ids":{"openalex":"https://openalex.org/W2947447348","doi":"https://doi.org/10.1136/heartjnl-2019-bcs.147","mag":"2947447348"},"language":"en","primary_location":{"id":"doi:10.1136/heartjnl-2019-bcs.147","doi":"https://doi.org/10.1136/heartjnl-2019-bcs.147","is_oa":true,"landing_page_url":"https://doi.org/10.1136/heartjnl-2019-bcs.147","pdf_url":"https://heart.bmj.com/content/heartjnl/105/Suppl_6/A125.full.pdf","source":{"id":"https://openalex.org/S191565391","display_name":"Heart","issn_l":"1355-6037","issn":["1355-6037","1468-201X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","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/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute Coronary Syndromes","raw_type":"proceedings-article"},"volume":null,"type":"conference-paper","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://heart.bmj.com/content/heartjnl/105/Suppl_6/A125.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005972327","display_name":"Nicolas Buttinger","orcid":"https://orcid.org/0000-0002-6308-7794","observed_orcids":["https://orcid.org/0000-0002-6308-7794"]},"institutions":[{"id":"https://openalex.org/I4387152291","display_name":"Brighton and Sussex University Hospitals NHS Trust","ror":"https://ror.org/02dqrks84","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210151332","https://openalex.org/I4387152291"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nicolas Buttinger","raw_affiliation_strings":["Brighton and Sussex University Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brighton and Sussex University Hospitals NHS Trust","institution_ids":["https://openalex.org/I4387152291"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101662295","display_name":"Daniel White","orcid":"https://orcid.org/0000-0002-9917-3600","observed_orcids":["https://orcid.org/0000-0002-9917-3600"]},"institutions":[{"id":"https://openalex.org/I2799660017","display_name":"Royal Surrey County Hospital","ror":"https://ror.org/02w7x5c08","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799660017","https://openalex.org/I4210146582"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Daniel White","raw_affiliation_strings":["Royal Surrey County Hospital Guildford"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Surrey County Hospital Guildford","institution_ids":["https://openalex.org/I2799660017"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022798640","display_name":"Jonathan Shurlock","orcid":"https://orcid.org/0000-0001-8681-6534","observed_orcids":["https://orcid.org/0000-0001-8681-6534"]},"institutions":[{"id":"https://openalex.org/I4387152291","display_name":"Brighton and Sussex University Hospitals NHS Trust","ror":"https://ror.org/02dqrks84","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210151332","https://openalex.org/I4387152291"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jonathan Shurlock","raw_affiliation_strings":["Brighton and Sussex University Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brighton and Sussex University Hospitals NHS Trust","institution_ids":["https://openalex.org/I4387152291"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060914929","display_name":"Lucy Blows","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387152291","display_name":"Brighton and Sussex University Hospitals NHS Trust","ror":"https://ror.org/02dqrks84","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210151332","https://openalex.org/I4387152291"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lucy Blows","raw_affiliation_strings":["Brighton and Sussex University Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brighton and Sussex University Hospitals NHS Trust","institution_ids":["https://openalex.org/I4387152291"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057648769","display_name":"Maureen Dooley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387152291","display_name":"Brighton and Sussex University Hospitals NHS Trust","ror":"https://ror.org/02dqrks84","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210151332","https://openalex.org/I4387152291"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Maureen Dooley","raw_affiliation_strings":["Brighton and Sussex University Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brighton and Sussex University Hospitals NHS Trust","institution_ids":["https://openalex.org/I4387152291"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.6537,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.64579319,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":93},"biblio":{"volume":null,"issue":null,"first_page":"A125","last_page":"A126"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9980000257492065,"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":0.9980000257492065,"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":0.0012000000569969416,"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/T10227","display_name":"Acute Ischemic Stroke Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"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/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.9890000224113464},{"id":"https://openalex.org/keywords/high-sensitivity-troponin-t","display_name":"high-sensitivity troponin T","score":0.8209999799728394},{"id":"https://openalex.org/keywords/emergency-department-length-of-stay","display_name":"emergency department length of stay","score":0.8679999709129333},{"id":"https://openalex.org/keywords/non-st-elevation-myocardial-infarction","display_name":"non-ST-elevation myocardial infarction","score":0.8949999809265137},{"id":"https://openalex.org/keywords/30-day-mortality","display_name":"30-day mortality","score":0.6460000276565552},{"id":"https://openalex.org/keywords/major-adverse-cardiovascular-events","display_name":"major adverse cardiovascular events","score":0.9980000257492065},{"id":"https://openalex.org/keywords/pathway-implementation","display_name":"pathway implementation","score":0.503000020980835},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.4059999883174896},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.335999995470047},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.35100001096725464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9635664224624634},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5175125598907471},{"id":"https://openalex.org/C2993769353","wikidata":"https://www.wikidata.org/wiki/Q7598360","display_name":"Standard of care","level":2,"score":0.46943333745002747},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4624280035495758},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.4329172968864441},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.34532153606414795},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2681769132614136},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.1454002559185028}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/heartjnl-2019-bcs.147","doi":"https://doi.org/10.1136/heartjnl-2019-bcs.147","is_oa":true,"landing_page_url":"https://doi.org/10.1136/heartjnl-2019-bcs.147","pdf_url":"https://heart.bmj.com/content/heartjnl/105/Suppl_6/A125.full.pdf","source":{"id":"https://openalex.org/S191565391","display_name":"Heart","issn_l":"1355-6037","issn":["1355-6037","1468-201X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","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/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute Coronary Syndromes","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1136/heartjnl-2019-bcs.147","doi":"https://doi.org/10.1136/heartjnl-2019-bcs.147","is_oa":true,"landing_page_url":"https://doi.org/10.1136/heartjnl-2019-bcs.147","pdf_url":"https://heart.bmj.com/content/heartjnl/105/Suppl_6/A125.full.pdf","source":{"id":"https://openalex.org/S191565391","display_name":"Heart","issn_l":"1355-6037","issn":["1355-6037","1468-201X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","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/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute Coronary Syndromes","raw_type":"proceedings-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2947447348.pdf","grobid_xml":"https://content.openalex.org/works/W2947447348.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2981644935","https://openalex.org/W3216829962","https://openalex.org/W2021506706","https://openalex.org/W2961622807","https://openalex.org/W4200059237","https://openalex.org/W7126138129","https://openalex.org/W2772129822","https://openalex.org/W4364355711","https://openalex.org/W4411728430","https://openalex.org/W4408106740"],"abstract_inverted_index":{"Aim":[0],"To":[1,272,479,562,578],"compare":[2],"the":[3,24,31,72,84,117,126,138,167,185,207,211,238,244,290,329,349,360,389,397,406,462,491,535,565,568,574],"length":[4],"of":[5,10,192,320,338,346,362,486,520,560,567,592],"stay,":[6],"efficacy":[7,566],"and":[8,33,60,92,104,144,197,280,318,332,344,351,393,415,425,441,526,584],"safety":[9],"a":[11,16,49,57,113,135,204,271,286,323,356,376,458,470,478,502,553,557],"new":[12,208,508,536,569],"0h/1h":[13],"algorithm,":[14,119],"utilising":[15],"high":[17,527],"sensitivity":[18],"troponin":[19,29,128,439,538],"T":[20],"(HsTnT)":[21],"assay,":[22],"with":[23,56,74,86,187,206,322,368,422,436,477,556],"previous":[25,546],"standard":[26],"3":[27],"hour":[28,51,524],"at":[30,380,450],"Brighton":[32],"Sussex":[34],"University":[35],"Hospitals":[36],"NHS":[37,518],"Trust":[38],"(BSUH)":[39],"Emergency":[40],"Departments":[41],"(ED).":[42],"Methods":[43],"The":[44,97,107,155,507],"2015":[45],"ESC":[46,118],"guidelines":[47],"approved":[48],"1":[50],"algorithm":[52],"used":[53],"in":[54,68,89,131,210,289,342,348,359,371,405,408,418,428,433,461,474,581],"conjunction":[55],"HsTnT":[58],"assay":[59],"clinical":[61],"assessment":[62],"to":[63,71,133,137,184,217,237,250,296,304,328,388,468,513,540,552,579,586],"safely":[64,550],"\u201crule-out\u201d":[65,103,139,239],"an":[66,369,437,498,517],"NSTEMI":[67],"patients":[69,82,100,181,222,235,321,347,363,386,432,487],"presenting":[70,476],"ED":[73,85,186,215,248,294,398,466],"suspected":[75,87,188,324],"ACS.":[76,189],"We":[77],"collected":[78,151,159],"data":[79],"on":[80,505],"all":[81,220],"attending":[83],"ACS":[88,325,339],"April":[90,93,171,174,314,419,429,434],"2017-pre":[91],"2018-post":[94],"pathway":[95,98,109,209,509,539,570],"implementation.":[96],"triages":[99],"into":[101],"\u201crule-in\u201d,":[102],"\u201cobservation\u201d":[105,331,350],"groups.":[106],"initial":[108,127,438],"we":[110,571],"developed":[111],"included":[112],"lower":[114],"cut-off":[115],"than":[116,544],"<3":[120],"versus":[121],"(v)":[122],"<5":[123],"ng/L":[124],"for":[125,152,163,219,501,577],"value":[129,273,480],"(To)":[130],"order":[132],"allocate":[134],"patient":[136],"group.":[140],"30-day":[141],"all-cause":[142],"mortality":[143],"major":[145],"adverse":[146],"cardiovascular":[147],"events":[148],"(MACE)":[149],"were":[150,177,326,400,445,488,549],"both":[153],"years.":[154],"final":[156],"diagnosis":[157,337,379,504],"was":[158,203,252,285,340,355,497,510],"from":[160,166,214,247,293,298,396,465,490],"discharge":[161,218,251,297,381],"summaries":[162],"those":[164,268,372,475,494],"admitted":[165,364,373,495],"ED.":[168,492],"Results":[169],"In":[170,234,267,313,493,516],"2017":[172],"v":[173,179,194,199,228,242,258,277,366,383],"2018":[175,315,420,435],"there":[176,284,399,444,496],"391":[178],"491":[180],"who":[182,269],"presented":[183],"Mean":[190],"age":[191],"61":[193],"57":[195],"years":[196],"59.3%":[198],"58.5%":[200],"male.":[201],"There":[202],"reduction":[205,288,358,460],"median":[212,245,291,463],"time":[213,246,292,464],"arrival":[216,249,295,467],"discharged":[221,282,394,411,442,489],"3.92":[223],"hours":[224,230,254,260,300,306],"[IQR":[225,231,255,261,301,307],"=":[226,232,256,262,302,308],"3.18\u20136.23]":[227],"3.78":[229],"3.2\u20135.17].":[233],"triaged":[236,327,387,551],"group,":[240],"281":[241],"392,":[243],"3.82":[253],"3\u20135.87]":[257],"3.63":[259],"3.07\u20133.98]":[263],"(see":[264,310],"figure":[265,311],"1).":[266],"had":[270],">":[274,481],"12ng/L,":[275],"63":[276],"71":[278],"patients,":[279],"subsequently":[281],"home,":[283],"significant":[287,357,459],"4.67":[299],"3.27\u20138.83]":[303],"3.93":[305],"3.55\u20135.18]":[309],"2).":[312],"65.6%,":[316],"24.4%":[317],"10%":[319],"\u201crule-out\u201d,":[330],"\u201crule-in\u201d":[333,352],"groups":[334,353],"respectively.":[335],"A":[336,483],"made":[341],"10.83%":[343],"63.3%":[345],"respectively.There":[354],"proportion":[361,559],"27.9%":[365],"20%":[367],"increase":[370],"being":[374],"given":[375],"primary":[377],"cardiac":[378,503],"52.4%":[382],"71.7%.":[384],"For":[385,431],"\u201crule":[390],"out\u201d":[391],"group":[392,409],"home":[395,443],"no":[401,416,426,446],"MACE":[402,404,424,447],"(1":[403],"rule":[407],"appropriately":[410],"after":[412],"cardiology":[413],"review)":[414],"deaths":[417,427,449],"compared":[421],"2":[423],"2017.":[430],"<5ng/L":[440],"or":[448],"30":[451],"days.":[452],"Conclusion":[453],"Our":[454],"results":[455,532],"have":[456,533,572],"shown":[457,512,534],"discharge,":[469,555],"benefit":[471],"greatest":[472],"seen":[473],"12ng/L.":[482],"greater":[484],"number":[485],"increased":[499,573],"PPV":[500],"discharge.":[506],"also":[511],"be":[514,541],"safe.":[515],"era":[519],"overwhelmed":[521],"EDs,":[522],"4":[523],"targets":[525],"inpatient":[528],"bed":[529],"occupancy":[530],"our":[531,545],"0/1h":[537],"more":[542],"efficacious":[543],"care.":[547],"Patients":[548],"quicker":[554],"reduced":[558],"admissions.":[561],"continue":[563],"improving":[564],"cut":[575],"off":[576],"5ng/L":[580],"January":[582],"2019":[583],"plan":[585],"further":[587],"reassess":[588],"this":[589],"pathway.":[590],"Conflict":[591],"Interest":[593],"None":[594]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":1}],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2019-06-07T00:00:00"}
