Dataset Information

Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.

ABSTRACT:

Background

Recurrent chest pain is common in patients with and without coronary artery disease. The prevalence and burden of these symptoms on healthcare is unknown.

Objectives

To compare chest pain return visits (recidivism) in patients with unexplained chest pain (UCP) against reference group of patients with coronary artery disease (CAD) and estimate the annual cost of recurrent chest pain.

Methods

In a retrospective cohort study, a Veteran Affairs (VA) administrative and clinical database of Veterans who were deployed to or served in support of the wars in Iraq or Afghanistan was queried for first disease specific ICD-9 code to form two cohorts (UCP or CAD). Patients were followed between 09/2001-09/2010 for the first and cumulative return visits for UCP or cardiac pain (ACS or angina) to clinic, emergency department or admission; or for all-cause death. Time to return was analyzed using Cox regression and negative binomial models and adjusted for age, gender, race, marital status, and risk factors (hypertension, hyperlipidemia, diabetes, smoking and obesity). Direct total costs included inpatient, outpatient and fee basis (non-VA) costs.

Results

Of 749,036 patients, 20,521 had UCP and 5303 had CAD. UCP patients were young and had a lower burden of risk factors than CAD cohort (p ConclusionChest pain recidivism is common and costly even in patients without known CAD. We need evidence-based guidelines for these patients to minimize returns.

SUBMITTER: Safdar B

PROVIDER: S-EPMC4511555 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature

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Publications

Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.

Safdar Basmah B Dziura James J Bathulapalli Harini H Leslie Douglas L DL Skanderson Melissa M Brandt Cynthia C Haskell Sally G SG

BMC family practice 20150723

<h4>Background</h4>Recurrent chest pain is common in patients with and without coronary artery disease. The prevalence and burden of these symptoms on healthcare is unknown.<h4>Objectives</h4>To compare chest pain return visits (recidivism) in patients with unexplained chest pain (UCP) against reference group of patients with coronary artery disease (CAD) and estimate the annual cost of recurrent chest pain.<h4>Methods</h4>In a retrospective cohort study, a Veteran Affairs (VA) administrative an ...[more]

PMID: 26202799

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Dataset Information

Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.

Background

Objectives

Methods

Results

Publications

Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.

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