Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial
Hess EP, Hollander JE, Schaffer JT, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Shah ND, Inselman J, Herrin J, Castaneda-Guarderas A, Montori VM. Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial. The BMJ 2016, 355: i6165. PMID: 27919865, PMCID: PMC5152707, DOI: 10.1136/bmj.i6165.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAdultAftercareAmbulatory CareAttitude of Health PersonnelChest PainChoice BehaviorConflict, PsychologicalDecision MakingDecision Support TechniquesEmergency Service, HospitalFemaleHealth Knowledge, Attitudes, PracticeHospital UnitsHospitalizationHumansMaleMiddle AgedMyocardial InfarctionObservationPatient Acceptance of Health CarePatient ParticipationPatient SatisfactionRisk AssessmentTrustConceptsAcute coronary syndromeMajor adverse cardiac eventsAdverse cardiac eventsCardiac testingCoronary syndromeChest painUsual careCardiac eventsPatient knowledgeLow-risk chest painPossible acute coronary syndromeDecision aid armFurther cardiac testingRandomized pragmatic trialRisk chest painUsual care armObservation unitProportion of patientsRate of admissionCare armSecondary outcomesPrimary outcomePrimary complaintTRIAL REGISTRATIONEmergency clinicians