The objective of this study was to measure the prevalence of chest pain centers, and describe the associated protocols most commonly used to rapidly risk-stratify patients in these units. This study is a survey conducted from May to July 2003 via direct mail. A questionnaire was mailed to 4653 hospitals in the United States. A total of 462 questionnaires were returned, representing a return rate of approximately 10 % . This survey revealed that approximately 64 % of all hospitals have a protocol for the evaluations of patients who present with chest pain, and 38 % of all hospitals reported a designated area for the evaluation of these patients. The majority of hospitals responding to this survey have a protocol for the evaluation of patients presenting with chest pain, however, the presence of a chest pain unit exists in only 38 % of all responding institutions.
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