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Journal of The Korean Society of Emergency Medicine 1995;6(1): 137-142. |
| THE EFFICACY OF ROUTINE ADMISSION ECG IN EMERGENCY DEPARTMENT |
| Chang Hyun Lee, Ho Suk Do, Sam Beom Lee, Byung Soo Do |
| Yeungnam University Hospital, Department of Emergency Medicine |
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Published online: June 30, 1995. |
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| ABSTRACT |
Study objectives : To determine whether routine performance of an ECG could have been safely avoided in a subset of ED(emergency department) patients admitted to a university hospital.
Design
Retrospective consecutive case series.
Setting
University teaching hospital.
Type of participants : All patients admitted through Yeungnam university hospital during a three month period.
Method
and interventions : Acceptable indications for an admission ECG were prospectively developed. Charts of all patients were reviewed to determine whether any of these were present, whether an admission ECG performed, and whether an admission ECG resulted in a change in patients management or outcome.
Measurements and main result : There were 984 admissions through ED during the study period. Of these 608 patients had an ECG performed at ED. Of the 608 patients 140(23.0%) had at least one acceptable indication and 468(77.0%) had no for an ECG. Among the 140 who had an indication for an ECG at ED, 56(40.0% ) patients ECG were interpreted abnormal (95% confidence interval[CI], 32%~48%). Among the 468 who had no indications, only 3(0.64 %) patients ECG were interpreted abnormal (95% CI, 0 %~1.36 %) and the ECG result in a change in management, but no change in outcome (95% CI, 0%~0.64%).
Conclusion
The routine or admission ECG could have been avoided in no acceptable ED indication. We should have to try continuously for making acceptable criteria of ECG in ED of Korea, and then we have to prevent needless ECG and cardiac work up that increasing the cost and evacuation time from ED.
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| Key words:
Admission ECG |
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