Table 2 Adherence to guidelines for the nested cohort (suspected or confirmed acute coronary syndrome) by service model - proportion of agreement
|  | Standard care n = 28 | ENP service n = 13 | p value |
|---|---|---|---|
Oxygen, aspirin and pain relief ordered | |||
  Oxygen administered only to patients with hypoxia (SaO 2  < 93%) (n = 40) | |||
  Compliant | 82.1% | 100% |  |
  Non-compliant | 17.9% | 0% | 0.20 |
  Aspirin prescribed in ED (n = 41) | |||
  Compliant | 89.3% | 100% |  |
  Non-compliant | 10.7% | 0% | 0.31 |
 12 lead ECG performed and reviewed within 10 min of presentation (n = 36) | |||
  Compliant | 73.9% | 53.8% |  |
  Non-compliant | 26.1% | 46.2% | 0.11 |
Troponin testing on arrival to ED (n = 41) | |||
  Compliant | 92.9% | 100% |  |
  Non-compliant | 7.1% | 0% | 0.46 |
Chest x-ray scheduled (n = 41) | |||
  Compliant | 60.7% | 61.5% |  |
  Non-compliant | 39.3% | 38.5% | 0.62 |
Repeat troponin testing at 6–8 h (n = 40) | |||
  Compliant | 82.1% | 91.7% |  |
  Non-compliant | 17.9% | 8.3% | 0.25 |
NSTEACS and high-risk patient management | |||
  Clopidogrel administered in ED (n = 20) | |||
  Compliant | 64.3% | 83.3% |  |
  Non-compliant | 35.7% | 17.7% | 0.17 |
  Enoxaparin administered in ED (n = 19) | |||
  Compliant | 71.4% | 80.0% |  |
  Non-compliant | 28.6% | 20.0% | 0.51 |
STEMI management (n = 2) | |||
  Thrombolysis given if not contraindicated | |||
  Compliant | 100% | 100% |  |
  Non-compliant | 0% | 0% |  |