Abstract 19872: Safety and Efficacy of Digital Symptom Triage Tool Developed for Decreasing Emergency Department Overutilization in Patients With Chest Pain

• Published in: Circulation (New York, N.Y.) N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A19872-A19872
• Main Authors: Vettichira, Bicky, Goyfman, Michael, Asheld, John, Druz, Regina, Kort, Smadar
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539

IntroductionAccording to the CDC, >70% of the emergency department (ED) visits in 2013 were due to a non-emergent conditions. Chest pain accounts for one of the top reasons for such visits. We tested safety and efficacy of digital symptom triage tool (DSTT) designed to re-direct lower risk patients with chest pain into less expensive medical care setting.MethodsThree hundred consecutive patients >18 years old who presented to a tertiary center ED with chest pain were evaluated retrospectively. DSTT was used to assign a risk score, defined as warning flag, to guide medical setting disposition. Actual outcomes were obtained from the medical records. Investigators were double blinded to the risk scores and the actual disposition.ResultsAverage age was 51.7±17.1 years, 158 men (52.7%), and 142 women. Actual disposition was117 admitted (39%), and 183 (61%) discharged from ED. The DSTT risk score was 10.96±3.4 in the admitted group, and 5.46±3.0 in the discharged group (P