Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Clinical Medicine Journal

  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Clinical Medicine Journal

clinmedicine Logo
  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Audit analysing the outcome of patients referred to the rapid-access chest pain clinic and assessing the positive predictive value of the rapid-access chest pain clinic of patients with coronary artery disease

Khizar Khan-Mahmood, Viraj Patel and Mark Scoote
Download PDF
DOI: https://doi.org/10.7861/clinmedicine.17-3-s11
Clin Med June 2017
Khizar Khan-Mahmood
Colchester General Hospital, Colchester, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Viraj Patel
Colchester General Hospital, Colchester, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Scoote
Colchester General Hospital, Colchester, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Aims

Analyse outcomes of patients referred to the rapid-access chest pain clinic (RACPC). Identifying positive predictive rate of angiograms, highlighting patterns of referral and to examine clinical outcomes of attendants, assessing efficiency.

Methods

1,212 patients were sampled. Inclusion criteria: all referrals to RACPC between 1 February 2014 and 31 January 2015. Demographic, referral source and management outcomes were analysed. The subset of patients who were referred to have angiograms was further analysed to assess their outcome.

Results

Mean age: 61, female patients: 618, male patients: 594. 81.4% of referrals were from GPs. 49.3% of referrals were discharged with no change in management. 40.9% of referrals underwent further investigations, of which 28% were angiograms. Of all patients who underwent angiograms, 45.6% of patients required intervention. Positive predictive value of RACPC, referring patients for angiogram who had coronary artery disease (CAD) was 74.4%.

Conclusions

The majority of referrals were from GPs and almost half required no intervention, questioning whether referrals were appropriate. As clinics are already overbooked, are there changes that can be made to reduce inappropriate referrals from primary care, eg consultant telephone advice provision? Audit confirms that RACPCs are an effective and efficient tool to assess patients with angina, and are good at highlighting patients with CAD requiring intervention. RACPCs are an effective nurse-led outpatient service.

Conflict of interest statement

No conflict of interest identified.

  • © Royal College of Physicians 2017. All rights reserved.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Audit analysing the outcome of patients referred to the rapid-access chest pain clinic and assessing the positive predictive value of the rapid-access chest pain clinic of patients with coronary artery disease
Khizar Khan-Mahmood, Viraj Patel, Mark Scoote
Clinical Medicine Jun 2017, 17 (Suppl 3) s11; DOI: 10.7861/clinmedicine.17-3-s11

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Audit analysing the outcome of patients referred to the rapid-access chest pain clinic and assessing the positive predictive value of the rapid-access chest pain clinic of patients with coronary artery disease
Khizar Khan-Mahmood, Viraj Patel, Mark Scoote
Clinical Medicine Jun 2017, 17 (Suppl 3) s11; DOI: 10.7861/clinmedicine.17-3-s11
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Aims
    • Methods
    • Results
    • Conclusions
    • Conflict of interest statement
  • Info & Metrics

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Fracture Liaison Services in England and Wales, inequity of access and quality of care after a fragility fracture
  • The end of weak handover
  • Developing service delivery guidelines on acute medical emergencies: challenges and solutions
Show more Health Services and Policy

Similar Articles

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home
clinmedicine Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians