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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Managing unstable angina and coronary care beds effectively

Anne-Maree Kelly, Elizabeth Edmonds, Roberte Newman and Nicole Amsing

Australian Health Review 22(4) 141 - 150
Published: 1999

Abstract

This article is an evaluation of a new chest pain admission policy at Western Hospital. Our aim was to determine the clinical outcomes of patients with unstable angina treated according to this new policy. It involved attempting to identify a group at low risk of serious complications and to manage them in a general ward area without cardiac monitoring, to reduce the pressure on coronary care unit beds. We conducted a retrospective case note review and concluded that that selected patients with an admission diagnosis of unstable angina can be safely managed in unmonitored medical beds provided mechanisms are in place for their transfer to the coronary care unit if recurrent pain or a complication occurs.

https://doi.org/10.1071/AH990141

© AHHA 1999

Committee on Publication Ethics

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