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  1. Article: Voltage hysteresis during lithiation/delithiation of graphite associated with meta-stable carbon stackings

    Mercer, Michael Peter / Peng, Chao / Soares, Cindy / Hoster, Harry Ernst / Kramer, Denis

    Journal of materials chemistry A. 2021 Jan. 5, v. 9, no. 1

    2021  

    Abstract: Cell voltage is a fundamental quantity used to monitor and control Li-ion batteries. The open circuit voltage (OCV) is of particular interest as it is believed to be a thermodynamic quantity, free of kinetic effects and history and, therefore, “simple” ... ...

    Abstract Cell voltage is a fundamental quantity used to monitor and control Li-ion batteries. The open circuit voltage (OCV) is of particular interest as it is believed to be a thermodynamic quantity, free of kinetic effects and history and, therefore, “simple” to interpret. Here we show that the OCV characteristics of graphite show hysteresis between charge and discharge that do not solely originate from Li dynamics and that the OCV is in fact history dependent. Combining first-principles calculations with temperature-controlled electrochemical measurements, we identify a residual hysteresis that persists even at elevated temperatures of greater than 50 °C due to differences in the phase succession between charge and discharge. Experimental entropy profiling, as well as energies and volume changes determined from first-principles calculations, suggest that the residual hysteresis is associated with different host lattice stackings of carbon and is related to Li disorder across planes in stage II configurations.
    Keywords electric potential difference ; electrochemistry ; entropy ; graphene ; hysteresis
    Language English
    Dates of publication 2021-0105
    Size p. 492-504.
    Publishing place The Royal Society of Chemistry
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 2702232-8
    ISSN 2050-7496 ; 2050-7488
    ISSN (online) 2050-7496
    ISSN 2050-7488
    DOI 10.1039/d0ta10403e
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: Specialist-led urgent cholecystectomy for acute gallstone disease.

    Glaysher, Michael A / May-Miller, Peter / Carter, Nicholas C / van Boxel, Gijs / Pucher, Philip H / Knight, Benjamin C / Mercer, Stuart J

    Surgical endoscopy

    2022  Volume 37, Issue 2, Page(s) 1038–1043

    Abstract: Background: Despite overwhelming evidence of the clinical and financial benefit of urgent cholecystectomy, there is variable enthusiasm and uptake across the UK. In 2014, following the First National Emergency Laparotomy Audit Organisational Report, we ... ...

    Abstract Background: Despite overwhelming evidence of the clinical and financial benefit of urgent cholecystectomy, there is variable enthusiasm and uptake across the UK. In 2014, following the First National Emergency Laparotomy Audit Organisational Report, we implemented a specialist-led urgent surgery service, whereby all patients with gallstone-related pathologies were admitted under the direct care of specialist upper gastrointestinal surgeons. We have analysed 5 years of data to investigate the results of this service model.
    Methods: Computerised operating theatre records were interrogated to identify all patients within a 5-year period undergoing cholecystectomy. Patient demographics, admission details, length of stay, duration of surgery, and complications were analysed.
    Results: Between 01/01/2016 and 31/12/2020, a total of 4870 cholecystectomies were performed; 1793 (36.8%) were urgent cases and 3077 (63.2%) were elective cases. All cases were started laparoscopically; 25 (0.5%) were converted to open surgery-14 of 1793 (0.78%) urgent cases and 11 of 3077 (0.36%) elective cases. Urgent cholecystectomy took 20 min longer than elective surgery (median 74 versus 52 min). No relevant difference in conversion rate was observed when urgent cholecystectomy was performed within 2 days, between 2 and 4 days, or greater than 4 days from admission (P = 0.197). Median total hospital stay was 4 days.
    Conclusion: Urgent laparoscopic cholecystectomy is safe and feasible in most patients with acute gall bladder disease. Surgery under the direct care of upper gastrointestinal specialist surgeons is associated with a low conversion rate, low complication rate, and short hospital stay. Timing of surgery has no effect on conversion rate or complication rate.
    MeSH term(s) Humans ; Gallstones/surgery ; Cholecystectomy ; Cholecystectomy, Laparoscopic/methods ; Gallbladder Diseases/surgery ; Hospitalization ; Length of Stay ; Acute Disease
    Language English
    Publishing date 2022-09-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-022-09591-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effect of Implementation of HEART Chest Pain Protocol on Emergency Department Disposition, Testing and Cost.

    Bylund, William E / Cole, Peter M / Lloyd, Michael L / Mercer, Anastasia A / Osit, Amanda K / Hussain, Sarah W / Lawrence, Matthew W / Gaspary, Micah J

    The western journal of emergency medicine

    2021  Volume 22, Issue 2, Page(s) 308–318

    Abstract: Background: Symptoms concerning for acute coronary syndromes (ACS) such as chest pain and dyspnea are some of the most common reasons for presenting to an emergency department (ED). The HEART score (history, electrocardiogram, age, risk factors and ... ...

    Abstract Background: Symptoms concerning for acute coronary syndromes (ACS) such as chest pain and dyspnea are some of the most common reasons for presenting to an emergency department (ED). The HEART score (history, electrocardiogram, age, risk factors and troponin) was developed and has been externally validated in an emergency setting to determine which patients with chest pain are at increased risk for poor outcomes. Our hospital adopted a HEART score-based protocol in late 2015 to facilitate the management and disposition of these patients. In this study we aimed to analyze the effects of the adoption of this protocol. Prior studies have included only patients with chest pain. We included both patients with chest pain and patients with only atypical symptoms.
    Methods: This was a retrospective chart review of two cohorts. We identified ED charts from six-month periods prior to and after adoption of our HEART score-based protocol. Patients in whom an electrocardiogram and troponin were ordered were eligible for inclusion. We analyzed data for patients with typical symptoms (chest pain) and atypical symptoms both together and separately.
    Results: We identified 1546 charts in the pre-adoption cohort and 1623 in the post-adoption cohort that met criteria. We analyzed the first 900 charts in each group. Discharges from the ED increased (odds ratio [OR[1.56, P<.001), and admissions for cardiac workup decreased (OR 0.46, P <.001). ED length of stay was 17 minutes shorter (P = .01). Stress testing decreased (OR 0.47, P<.001). We estimate a cost savings for our hospital system of over $4.5 million annually. There was no significant difference in inpatient length of stay or catheterization rate. When analyzing typical and atypical patients separately, these results held true.
    Conclusion: After adoption of a HEART score-based protocol, discharges from the ED increased with a corresponding decrease in admissions for cardiac evaluations as well as cost. These effects were similar in patients presenting without chest pain but with presentations concerning for ACS.
    MeSH term(s) Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/therapy ; Chest Pain/diagnosis ; Clinical Protocols/standards ; Diagnosis, Differential ; Emergency Medical Services/methods ; Emergency Medical Services/organization & administration ; Emergency Medical Services/standards ; Emergency Service, Hospital/organization & administration ; Female ; Hospitalization/statistics & numerical data ; Humans ; Male ; Middle Aged ; Quality Improvement ; Retrospective Studies
    Language English
    Publishing date 2021-02-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-9018
    ISSN (online) 1936-9018
    ISSN 1936-9018
    DOI 10.5811/westjem.2020.9.48903
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sodiation Of Hard Carbon: How Separating Enthalpy And Entropy Contributions Can Find Transitions Hidden In The Voltage Profile.

    Mercer, Michael Peter / Affleck, Sam / Gavilán-Arriazu, Edgardo Maximiliano / Zülke, Alana Aragón / Maughan, Philip A / Trivedi, Shivam / Fichtner, Maximilian / Reddy Munnangi, Anji / Leiva, Ezequiel P M / Hoster, Harry Ernst

    Chemphyschem : a European journal of chemical physics and physical chemistry

    2022  Volume 23, Issue 5, Page(s) e202100748

    Abstract: Sodium-ion batteries (NIBs) utilize cheaper materials than lithium-ion batteries (LIBs) and can thus be used in larger scale applications. The preferred anode material is hard carbon, because sodium cannot be inserted into graphite. We apply experimental ...

    Abstract Sodium-ion batteries (NIBs) utilize cheaper materials than lithium-ion batteries (LIBs) and can thus be used in larger scale applications. The preferred anode material is hard carbon, because sodium cannot be inserted into graphite. We apply experimental entropy profiling (EP), where the cell temperature is changed under open circuit conditions. EP has been used to characterize LIBs; here, we demonstrate the first application of EP to any NIB material. The voltage versus sodiation fraction curves (voltage profiles) of hard carbon lack clear features, consisting only of a slope and a plateau, making it difficult to clarify the structural features of hard carbon that could optimize cell performance. We find additional features through EP that are masked in the voltage profiles. We fit lattice gas models of hard carbon sodiation to experimental EP and system enthalpy, obtaining: 1. a theoretical maximum capacity, 2. interlayer versus pore filled sodium with state of charge.
    Language English
    Publishing date 2022-02-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2025223-7
    ISSN 1439-7641 ; 1439-4235
    ISSN (online) 1439-7641
    ISSN 1439-4235
    DOI 10.1002/cphc.202100748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Deep water acoustic range estimation based on an ocean general circulation model: Application to PhilSea10 data.

    Wu, Mengyu / Barmin, Mikhail P / Andrew, Rex K / Weichman, Peter B / White, Andrew W / Lavely, Eugene M / Dzieciuch, Matthew A / Mercer, James A / Worcester, Peter F / Ritzwoller, Michael H

    The Journal of the Acoustical Society of America

    2020  Volume 146, Issue 6, Page(s) 4754

    Abstract: This study identifies general characteristics of methods to estimate the absolute range between an acoustic transmitter and a receiver in the deep ocean. The data are from three days of the PhilSea10 experiment with a single fixed transmitter depth (∼998  ...

    Abstract This study identifies general characteristics of methods to estimate the absolute range between an acoustic transmitter and a receiver in the deep ocean. The data are from three days of the PhilSea10 experiment with a single fixed transmitter depth (∼998 m) and 150 receiver depths (∼210-5388 m) of known location, and a great-circle transmitter-receiver distance of ∼510 km. The proposed ranging methods compare observed acoustic records with synthetic records computed through the HYCOM (hybrid coordinate ocean model) model. More than 8900 transmissions over 3 days characterize the statistical variation of range errors. Reliable ranging methods de-emphasize the parts of the data records least likely to be reproduced by the synthetics, which include arrival amplitudes, the later parts of the acoustic records composed of nearly horizontally launched rays (i.e., the finale), and waves that sample a narrow span of ocean depths. The ranging methods proposed normalize amplitudes, measure travel times, or reject parts of the waveforms beyond a critical time. All deliver reliable range estimates based on the time and path-averaged HYCOM model, although the final method performs best. The principles behind these methods are transportable and expected to provide reliable range estimates in different deep water settings.
    Language English
    Publishing date 2020-01-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219231-7
    ISSN 1520-8524 ; 0001-4966
    ISSN (online) 1520-8524
    ISSN 0001-4966
    DOI 10.1121/1.5138606
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Resource Utilization in the First 2 Years Following Operative Correction for Tetralogy of Fallot: Study Using Data From the Optum's De-Identified Clinformatics Data Mart Insurance Claims Database.

    O'Byrne, Michael L / DeCost, Grace / Katcoff, Hannah / Savla, Jill J / Chang, Joyce / Goldmuntz, Elizabeth / Groeneveld, Peter W / Rossano, Joseph W / Faerber, Jennifer A / Mercer-Rosa, Laura

    Journal of the American Heart Association

    2020  Volume 9, Issue 15, Page(s) e016581

    Abstract: Background Despite excellent operative survival, correction of tetralogy of Fallot frequently is accompanied by residual lesions that may affect health beyond the incident hospitalization. Measuring resource utilization, specifically cost and length of ... ...

    Abstract Background Despite excellent operative survival, correction of tetralogy of Fallot frequently is accompanied by residual lesions that may affect health beyond the incident hospitalization. Measuring resource utilization, specifically cost and length of stay, provides an integrated measure of morbidity not appreciable in traditional outcomes. Methods and Results We conducted a retrospective cohort study, using de-identified commercial insurance claims data, of 269 children who underwent operative correction of tetralogy of Fallot from January 2004 to September 2015 with ≥2 years of continuous follow-up (1) to describe resource utilization for the incident hospitalization and subsequent 2 years, (2) to determine whether prolonged length of stay (>7 days) in the incident hospitalization was associated with increased subsequent resource utilization, and (3) to explore whether there was regional variation in resource utilization with both direct comparisons and multivariable models adjusting for known covariates. Subjects with prolonged incident hospitalization length of stay demonstrated greater resource utilization (total cost as well as counts of outpatient visits, hospitalizations, and catheterizations) after hospital discharge (
    MeSH term(s) Child, Preschool ; Databases, Factual ; Female ; Humans ; Infant ; Length of Stay/economics ; Length of Stay/statistics & numerical data ; Male ; Retrospective Studies ; Tetralogy of Fallot/economics ; Tetralogy of Fallot/surgery
    Language English
    Publishing date 2020-07-21
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.120.016581
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Repurposing Pyramax®, quinacrine and tilorone as treatments for Ebola virus disease.

    Lane, Thomas R / Dyall, Julie / Mercer, Luke / Goodin, Caleb / Foil, Daniel H / Zhou, Huanying / Postnikova, Elena / Liang, Janie Y / Holbrook, Michael R / Madrid, Peter B / Ekins, Sean

    Antiviral research

    2020  Volume 182, Page(s) 104908

    Abstract: We have recently identified three molecules (tilorone, quinacrine and pyronaridine tetraphosphate) which all demonstrated efficacy in the mouse model of infection with mouse-adapted Ebola virus (EBOV) model of disease and had similar in vitro inhibition ... ...

    Abstract We have recently identified three molecules (tilorone, quinacrine and pyronaridine tetraphosphate) which all demonstrated efficacy in the mouse model of infection with mouse-adapted Ebola virus (EBOV) model of disease and had similar in vitro inhibition of an Ebola pseudovirus (VSV-EBOV-GP), suggesting they interfere with viral entry. Using a machine learning model to predict lysosomotropism these compounds were evaluated for their ability to possess a lysosomotropic mechanism in vitro. We now demonstrate in vitro that pyronaridine tetraphosphate is an inhibitor of Lysotracker accumulation in lysosomes (IC50 = 0.56 μM). Further, we evaluated antiviral synergy between pyronaridine and artesunate (Pyramax®), which are used in combination to treat malaria. Artesunate was not found to have lysosomotropic activity in vitro and the combination effect on EBOV inhibition was shown to be additive. Pyramax® may represent a unique example of the repurposing of a combination product for another disease.
    MeSH term(s) Antiviral Agents/pharmacology ; Antiviral Agents/therapeutic use ; Artesunate/therapeutic use ; Drug Combinations ; Drug Repositioning ; Drug Synergism ; Ebolavirus/drug effects ; HeLa Cells ; Hemorrhagic Fever, Ebola/drug therapy ; Hemorrhagic Fever, Ebola/virology ; Humans ; Lysosomes/drug effects ; MCF-7 Cells ; Machine Learning ; Naphthyridines/therapeutic use ; Quinacrine/therapeutic use ; Tilorone/therapeutic use ; Virus Internalization/drug effects
    Chemical Substances Antiviral Agents ; Drug Combinations ; Naphthyridines ; pyronaridine tetraphosphate, artesunate drug combination ; Artesunate (60W3249T9M) ; Quinacrine (H0C805XYDE) ; Tilorone (O6W7VEW6KS)
    Keywords covid19
    Language English
    Publishing date 2020-08-13
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural
    ZDB-ID 306628-9
    ISSN 1872-9096 ; 0166-3542
    ISSN (online) 1872-9096
    ISSN 0166-3542
    DOI 10.1016/j.antiviral.2020.104908
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Coronavirus Standards Working Group's roadmap for improved population testing.

    Mercer, Tim / Almond, Neil / Crone, Michael A / Chain, Patrick S G / Deshpande, Alina / Eveleigh, Deepa / Freemont, Paul / Fuchs, Sebastien / Garlick, Russell / Huggett, Jim / Kammel, Martin / Li, Po-E / Milavec, Mojca / Marlowe, Elizabeth M / O'Sullivan, Denise M / Page, Mark / Pestano, Gary A / Suliman, Sara / Simen, Birgitte /
    Sninsky, John J / Sopchak, Lynne / Tato, Cristina M / Vallone, Peter M / Vandesompele, Jo / White, Thomas J / Zeichhardt, Heinz / Salit, Marc

    Nature biotechnology

    2022  Volume 40, Issue 11, Page(s) 1563–1568

    MeSH term(s) Coronavirus
    Language English
    Publishing date 2022-10-14
    Publishing country United States
    Document type Letter ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, Non-U.S. Gov't
    ZDB-ID 1311932-1
    ISSN 1546-1696 ; 1087-0156
    ISSN (online) 1546-1696
    ISSN 1087-0156
    DOI 10.1038/s41587-022-01538-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Seed amplification and neurodegeneration marker trajectories in individuals at risk of prion disease.

    Mok, Tze How / Nihat, Akin / Majbour, Nour / Sequeira, Danielle / Holm-Mercer, Leah / Coysh, Thomas / Darwent, Lee / Batchelor, Mark / Groveman, Bradley R / Orr, Christina D / Hughson, Andrew G / Heslegrave, Amanda / Laban, Rhiannon / Veleva, Elena / Paterson, Ross W / Keshavan, Ashvini / Schott, Jonathan M / Swift, Imogen J / Heller, Carolin /
    Rohrer, Jonathan D / Gerhard, Alexander / Butler, Christopher / Rowe, James B / Masellis, Mario / Chapman, Miles / Lunn, Michael P / Bieschke, Jan / Jackson, Graham S / Zetterberg, Henrik / Caughey, Byron / Rudge, Peter / Collinge, John / Mead, Simon

    Brain : a journal of neurology

    2023  Volume 146, Issue 6, Page(s) 2570–2583

    Abstract: Human prion diseases are remarkable for long incubation times followed typically by rapid clinical decline. Seed amplification assays and neurodegeneration biofluid biomarkers are remarkably useful in the clinical phase, but their potential to predict ... ...

    Abstract Human prion diseases are remarkable for long incubation times followed typically by rapid clinical decline. Seed amplification assays and neurodegeneration biofluid biomarkers are remarkably useful in the clinical phase, but their potential to predict clinical onset in healthy people remains unclear. This is relevant not only to the design of preventive strategies in those at-risk of prion diseases, but more broadly, because prion-like mechanisms are thought to underpin many neurodegenerative disorders. Here, we report the accrual of a longitudinal biofluid resource in patients, controls and healthy people at risk of prion diseases, to which ultrasensitive techniques such as real-time quaking-induced conversion (RT-QuIC) and single molecule array (Simoa) digital immunoassays were applied for preclinical biomarker discovery. We studied 648 CSF and plasma samples, including 16 people who had samples taken when healthy but later developed inherited prion disease (IPD) ('converters'; range from 9.9 prior to, and 7.4 years after onset). Symptomatic IPD CSF samples were screened by RT-QuIC assay variations, before testing the entire collection of at-risk samples using the most sensitive assay. Glial fibrillary acidic protein (GFAP), neurofilament light (NfL), tau and UCH-L1 levels were measured in plasma and CSF. Second generation (IQ-CSF) RT-QuIC proved 100% sensitive and specific for sporadic Creutzfeldt-Jakob disease (CJD), iatrogenic and familial CJD phenotypes, and subsequently detected seeding activity in four presymptomatic CSF samples from three E200K carriers; one converted in under 2 months while two remain asymptomatic after at least 3 years' follow-up. A bespoke HuPrP P102L RT-QuIC showed partial sensitivity for P102L disease. No compatible RT-QuIC assay was discovered for classical 6-OPRI, A117V and D178N, and these at-risk samples tested negative with bank vole RT-QuIC. Plasma GFAP and NfL, and CSF NfL levels emerged as proximity markers of neurodegeneration in the typically slow IPDs (e.g. P102L), with significant differences in mean values segregating healthy control from IPD carriers (within 2 years to onset) and symptomatic IPD cohorts; plasma GFAP appears to change before NfL, and before clinical conversion. In conclusion, we show distinct biomarker trajectories in fast and slow IPDs. Specifically, we identify several years of presymptomatic seeding positivity in E200K, a new proximity marker (plasma GFAP) and sequential neurodegenerative marker evolution (plasma GFAP followed by NfL) in slow IPDs. We suggest a new preclinical staging system featuring clinical, seeding and neurodegeneration aspects, for validation with larger prion at-risk cohorts, and with potential application to other neurodegenerative proteopathies.
    MeSH term(s) Humans ; tau Proteins/metabolism ; Prion Diseases ; Creutzfeldt-Jakob Syndrome ; Prions ; Biomarkers
    Chemical Substances tau Proteins ; Prions ; Biomarkers
    Language English
    Publishing date 2023-03-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80072-7
    ISSN 1460-2156 ; 0006-8950
    ISSN (online) 1460-2156
    ISSN 0006-8950
    DOI 10.1093/brain/awad101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Effect of Implementation of HEART Chest Pain Protocol on Emergency Department Disposition, Testing and Cost

    William E. Bylund / Peter M. Cole / Michael L. Lloyd / Anastasia A. Mercer / Amanda K. Osit / Sarah W. Hussain / Matthew W. Lawrence / Micah J. Gaspary

    Western Journal of Emergency Medicine, Vol 22, Iss

    2020  Volume 2

    Abstract: Background: Symptoms concerning for acute coronary syndromes (ACS) such as chest pain and dyspnea are some of the most common reasons for presenting to an emergency department (ED). The HEART score (history, electrocardiogram, age, risk factors and ... ...

    Abstract Background: Symptoms concerning for acute coronary syndromes (ACS) such as chest pain and dyspnea are some of the most common reasons for presenting to an emergency department (ED). The HEART score (history, electrocardiogram, age, risk factors and troponin) was developed and has been externally validated in an emergency setting to determine which patients with chest pain are at increased risk for poor outcomes. Our hospital adopted a HEART score-based protocol in late 2015 to facilitate the management and disposition of these patients. In this study we aimed to analyze the effects of the adoption of this protocol. Prior studies have included only patients with chest pain. We included both patients with chest pain and patients with only atypical symptoms. Methods: This was a retrospective chart review of two cohorts. We identified ED charts from six-month periods prior to and after adoption of our HEART score-based protocol. Patients in whom an electrocardiogram and troponin were ordered were eligible for inclusion. We analyzed data for patients with typical symptoms (chest pain) and atypical symptoms both together and separately. Results: We identified 1546 charts in the pre-adoption cohort and 1623 in the post-adoption cohort that met criteria. We analyzed the first 900 charts in each group. Discharges from the ED increased (odds ratio [OR[1.56, P<.001), and admissions for cardiac workup decreased (OR 0.46, P <.001). ED length of stay was 17 minutes shorter (P = .01). Stress testing decreased (OR 0.47, P<.001). We estimate a cost savings for our hospital system of over $4.5 million annually. There was no significant difference in inpatient length of stay or catheterization rate. When analyzing typical and atypical patients separately, these results held true. Conclusion: After adoption of a HEART score-based protocol, discharges from the ED increased with a corresponding decrease in admissions for cardiac evaluations as well as cost. These effects were similar in patients presenting without chest pain ...
    Keywords Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Subject code 610
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher eScholarship Publishing, University of California
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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