We prospectively evaluated a rapid-access @entity662 clinic in terms of clinical diagnoses, outcomes, morbidity and mortality at 3 months follow-up in @entity1 , and cost-effectiveness. All @entity1 seen at the clinic from February 1999 to December 2000 were assessed. Referring doctors indicated the management they would have provided had the clinic been unavailable, to allow a cost-effectiveness analysis. Overall, 709 @entity1 were referred, 471 (66%) from General Practitioners, 212 (30%) from Accident and Emergency doctors and 26 (4%) from other sources. All had recent onset, or increasing frequency of @entity662 (excluding those with suspected @entity583 or rest @entity662 ). Fifty-one (7%) had @entity1187 , 119 (17%) had stable @entity299 , 144 (20%) had possible @entity299 , and 395 (56%) were considered to have non-ischaemic symptoms. Some 70% of @entity1 were seen within 24 h. Only 57 @entity1 (8%) were admitted. Had the clinic been unavailable, 160 @entity1 would have been admitted. Out- @entity1 cardiology appointments were arranged for 116 @entity1 (16%), and 429 @entity1 (60%) were discharged directly. Follow-up data at 3 months were obtained from 565/567 eligible @entity1 (99.6%). No major @entity299 ( @entity204 / @entity583 ) occurred in those with non-ischaemic @entity662 . There were five deaths (including one due to @entity5 ) and three @entity1 had a @entity583 (event rate 1%). There were eleven readmissions for angina: six were in @entity1 with @entity1187 , and four of these six were awaiting revascularization. The estimated net saving was pound 58/ @entity1 . A rapid-access @entity662 clinic offers a prompt, safe and cost-effective service in a challenging group of @entity1 .

Suspected angina pectoris: a rapid-access XXXX clinic.

@entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain angina', 'ischaemic-type chest pain', 'chest pain'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndromes'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac events', 'ischaemic heart disease'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity662 :: (MESH:D002637,Disease) :: ['chest pain']
