Findings on Chest Pain Discussed by Investigators at Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center (Resource Utilization Following Coronary Computed Tomographic Angiography and Stress …): Chest Pain

2022 JAN 21 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in Chest Pain. According to news originating from Hershey, Pennsylvania, by NewsRx correspondents, research stated, “This study aimed to assess long-term resource utilization and outcomes in patients with acute chest pain who underwent coronary computed tomography angiography (CCTA) and stress echocardiography (SE). This was a retrospective, propensity-matched analysis of health insurance claims data for a national sample of privately insured patients over the period January 1, 2011, to December 31, 2014.”

Our news journalists obtained a quote from the research from the Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center, “There were 3,816 patients matched 1:1 who received either CCTA (n = 1,908) or SE (n = 1,908). Patients were seen in the emergency department (ED) between January 1, 2011, and December 31, 2011 with a primary diagnosis of chest pain and received either CCTA or SE within 72 hours as the first noninvasive test and maintained continuous enrollment in the database from the time of the ED encounter through December 31, 2014. All individual patient data were censored at 3 years. Compared with SE, CCTA was associated with higher odds of downstream cardiac catheterization (9.9% vs 7.7%, adjusted odds ratio [AOR] 1.28, 95% confidence interval (CI) 1.00 to 1.63), future noninvasive testing (27.7% vs 22.3%, AOR 1.22, 95% CI 1.05 to 1.42), and return ED visits or hospitalization for chest pain at 3 years (33.1% vs 24.2%, AOR 1.37, 95% CI 1.19 to 1.59). There were no statistically significant differences in new statin use (15.5% vs 14.9%, AOR 1.04, 95% CI 0.85 to 1.28), coronary revascularization (2.7% vs 2.2%, AOR 1.25, 95% CI 0.77 to 2.01) or hospitalization for acute myocardial infarction (0.9% vs 0.9%, AOR 0.96, 95% CI 0.47 to 1.99).”

According to the news editors, the research concluded: “In patients who present to the ED with chest pain, CCTA is associated with increased downstream resource utilization compared with SE with no differences in long-term cardiovascular outcomes.”

This research has been peer-reviewed.

For more information on this research see: Resource Utilization Following Coronary Computed Tomographic Angiography and Stress Echocardiography In Patients Presenting To the Emergency Department With Chest Pain. The American Journal of Cardiology, 2022;163:8-12. The American Journal of Cardiology can be contacted at: Excerpta Medica Inc-elsevier Science Inc, 685 Route 202-206 Ste 3, Bridgewater, NJ 08807, USA.

The news correspondents report that additional information may be obtained from Andrew J. Foy, Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center, Division of Cardiology, Hershey, PA 17033, United States. Additional authors for this research include Adam Sturts, Mohammed Ruzieh, Sanket S. Dhruva, Rita F. Redberg, Brandon Peterson, Guodong Liu and John M. Mandrola.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.amjcard.2021.09.043. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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