Cardiac time-insensitive predictive instruments (TIPIs): real-time emergency clinical decision aids and tools for the retrospective assessment of care.

Cardiac time-insensitive predictive instruments (TIPIs): real-time emergency clinical decision aids and tools for the retrospective assessment of care.
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心脏时间不敏感预测工具 (TIPI):用于回顾性评估护理的实时紧急临床决策辅助工具和工具。

DOI:
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发表时间:
2001
期刊:
Maryland medicine : MM : a publication of MEDCHI, the Maryland State Medical Society
影响因子:
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通讯作者:
H. Selker
H. Selker
中科院分区:
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文献类型:
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作者:
H. Selker

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在美国,急性心肌缺血(ACI),包括不稳定型心绞痛和急性心肌梗死(AMI),是发病率和死亡率的主要原因,并且是卫生保健资源的巨大消耗者。因此,使用医院和重症监护病床为疑似患有ACI的患者提供服务是一项主要的医疗保健费用。然而,在每年约300万因疑似ACI住院的患者中,超过一半的患者被证明没有真正的ACI,而不到一半的ACI患者患有AMI。1 -3这些不必要的住院和冠状动脉护理病房(CCU)入院构成了巨大的浪费;每年仅直接成本就达数十亿美元。4
In the United States, acute cardiac ischemia (ACI), including both unstable angina pectoris and acute myocardial infarction (AMI), is the leading cause of morbidity and mortality, and an enormous consumer of health care resources. Accordingly, the use of hospital and intensive care beds for patients suspected to have ACI is a major health care expense. Yet of the approximately three million patients hospitalized for suspected ACI each year, over half prove not to have true ACI, and less than half of those with ACI have AMI.1-3 These unnecessary hospital and coronary care unit (CCU) admissions represent a substantial waste; the direct costs alone are several billion dollars annually.4