ACI-TIPI Clinical Trial
Authors: Kevin P. Weinfurt, Saif S. Rathore, Kevin A. Schulman
Journal: Annals of Internal Medicine (1999)

Letters21 September 1999ACI-TIPI Clinical TrialKevin P. Weinfurt, PhD, Saif S. Rathore, AB, and Kevin A. Schulman, MD, MBAKevin P. Weinfurt, PhDGeorgetown University Medical Center; Washington, DC 20007 (Weinfurt)Georgetown University Medical Center; Washington, DC 20007 (Rathore)Georgetown University Medical Center; Washington, DC 20007 (Schulman)Search for more papers by this author, Saif S. Rathore, ABGeorgetown University Medical Center; Washington, DC 20007 (Weinfurt)Georgetown University Medical Center; Washington, DC 20007 (Rathore)Georgetown University Medical Center; Washington, DC 20007 (Schulman)Search for more papers by this author, and Kevin A. Schulman, MD, MBAGeorgetown University Medical Center; Washington, DC 20007 (Weinfurt)Georgetown University Medical Center; Washington, DC 20007 (Rathore)Georgetown University Medical Center; Washington, DC 20007 (Schulman)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-6-199909210-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITORWe read with interest Selker and colleagues' recent evaluation of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) in the emergent triage of patients with chest pain (1). As a test of an intervention to improve treatment decisions, this innovative study had little precedent. However, to the extent that Selker and colleagues were testing a new technology, that technology should be evaluated with the same rigor was used for other interventions, including an adequate assessment of safety.The safety of an intervention is usually defined in relation to the safety of the comparison group. Hence, the test ...References1. Selker HP, Beshansky JR, Griffith JL, Aufderheide TP, Ballin DS, Bernard SA, et al . Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. Ann Intern Med. 1998;129:845-55. LinkGoogle Scholar2. An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction. The GUSTO investigators. N Engl J Med. 1993; 329:673-82. Google Scholar Author, Article, and Disclosure InformationAffiliations: Georgetown University Medical Center; Washington, DC 20007 (Weinfurt)Georgetown University Medical Center; Washington, DC 20007 (Rathore)Georgetown University Medical Center; Washington, DC 20007 (Schulman) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUse of the Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) To Assist with Triage of Patients with Chest Pain or Other Symptoms Suggestive of Acute Cardiac Ischemia: A Multicenter, Controlled Clinical Trial Harry P. Selker , Joni R. Beshansky , John L. Griffith , Tom P. Aufderheide , Daniel S. Ballin , Sheilah A. Bernard , Steven G. Crespo , James A. Feldman , Susan S. Fish , W. Brian Gibler , Debra A. Kiez , Robert A. McNutt , Anne W. Moulton , Joseph P. Ornato , Philip J. Podrid , J. Hector Pope , Deeb N. Salem , Michael R. Sayre , and Robert H. Woolard Hemochromatosis and Vitamin C James C. Barton , Paul C. Adams , and Lawrie W. Powell Metrics 21 September 1999Volume 131, Issue 6Page: 476-477KeywordsAdverse eventsDeath ratesHemorrhagic strokeIschemiaMyocardial infarctionPatientsSafetyStrokeTissue plasminogen activatorTriage Issue Published: 21 September 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...