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Table 2 Adherence to guidelines for the nested cohort (suspected or confirmed acute coronary syndrome) by service model - proportion of agreement

From: The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

  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%