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Appendix A - Search Strategy

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1

2

3

4

Database(s): Embase 1988 to 2011 Week 45 , Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and

Ovid MEDLINE(R) 1948 to Present , PsycINFO 1987 to November Week 2 2011

Search Strategy:

Searches thorax pain/ noncardiac chest pain/ syndrome X/

(chest burn or ((cardiac or chest or heart or thorax or thoracic) adj2 pain) or ((cardiac or angina) adj2 syndrome x) or (microvascular adj2 angina) or ((suspected or potential or subsequent* or recurrent or repeat* or previous*) adj2 (acute coronary syndrome* or acs or acute myocardial infarct* or ami or stroke*))).tw. or/1-4 hospitalization/

7

8

5

6 statistics/

6 and 7

9 *hospital utilization/

10 "length of stay"/

11 *hospital admission/

12 hospital discharge/

13 hospital readmission/

14 "hospital subdivisions and components"/

15 8 and 14

16 *health care utilization/

17 (ecu visit* or re-admi* or readmi* or re-hospital* or rehospital* or previous* hospitali?* or

(frequent* adj1 (use* or attend* or fl?er*)) or (health adj3 (care or service*) adj3 (consum* or seeking behavio?r* or use* or utili?ation*)) or ((number or rate*) adj3 (admission* or visit*)) or

(repeat* adj2 visit*) or ((subsequent* or recurrent or repeat* or previous*) adj2 hospital adj2

(admission* or encounter* or visit*)) or (patient* adj2 discharge*)).tw.

18 or/8-13,15-17

19 5 and 18

20 limit 19 to "causation-etiology (maximizes sensitivity)" [Limit not valid in PsycINFO; records were retained]

21 et.fs.

22 19 and 21

23 20 or 22

Results

32117

286

1506

60664

353006

4301

2621

3525638

716

2933

79234

202412

182340

6571

351

104432

8858

46501

14061

5618

35

14863

204214

24 incidence/ or prevalence/

25 cross-sectional study/

26 (incidence* or prevalence* or epidemiol*).tw.

27 ep.fs.

28 or/24-27

29 19 and 28

30 outcome assessment/

31 fatality/

32 mortality/

33 survival rate/

34 treatment outcome/

35 (cardiac adj2 outcome*).tw.

36 or/30-35

37 19 and 36

38 limit 19 to "prognosis (best balance of sensitivity and specificity)" [Limit not valid in PsycINFO; records were retained]

39 37 or 38

40 23 or 29 or 39

41 cohort analysis/

42 follow up/

43 longitudinal study/ or prospective study/ or retrospective study/

44 ((prospective or retrospective) adj3 stud*).tw.

45 (consecutiv* adj5 patient*).tw.

46 or/41-45

47 40 and 46

48 limit 47 to (danish or english or german or norwegian or swedish)

49 limit 48 to yr="1990 -Current"

50 49 use emed

51 Chest Pain/

52 Microvascular Angina/

53 (chest burn or ((cardiac or chest or heart or thorax or thoracic) adj2 pain) or ((cardiac or angina) adj2 syndrome x) or (microvascular adj2 angina) or ((suspected or potential or subsequent* or recurrent or repeat* or previous*) adj2 (acute coronary syndrome* or acs or acute myocardial infarct* or ami or stroke*))).tw.

54 or/51-53

55 Hospitalization/sn, ut [Statistics & Numerical Data, Utilization]

56 "length of stay"/ or patient admission/ or patient discharge/ or patient readmission/ or

704769

192393

1881312

1717731

3120653

979

142611

44131

378222

215704

1061509

5249

1702119

1192

1765

2134718

1728

1619

1585

1085

40050

2335

60664

2371

3501

235185

513363

1189303

609662

275631

82127

13597

260692

patient transfer/

57 Health Services/ut [Utilization]

58 Recurrence/

59 Hospital Units/sn, ut [Statistics & Numerical Data, Utilization]

60 (ecu visit* or re-admi* or readmi* or re-hospital* or rehospital* or previous* hospitali?* or

(frequent* adj1 (use* or attend* or fl?er*)) or (health adj3 (care or service*) adj3 (consum* or seeking behavio?r* or use* or utili?ation*)) or ((number or rate*) adj3 (admission* or visit*)) or

(repeat* adj2 visit*) or ((subsequent* or recurrent or repeat* or previous*) adj2 hospital adj2

(admission* or encounter* or visit*)) or (patient* adj2 discharge*)).tw.

61 or/55-60

62 54 and 61

63 limit 62 to "causation-etiology (maximizes sensitivity)" [Limit not valid in PsycINFO; records were retained]

64 etiology.fs.

65 62 and 64

66 63 or 65

67 incidence/ or prevalence/

68 Cross-Sectional Studies/

69 (incidence* or prevalence* or epidemiol*).tw.

70 epidemiology.fs.

71 or/67-70

72 62 and 71

73 "Outcome Assessment (Health Care)"/

74 fatal outcome/ or hospital mortality/ or survival rate/

75 treatment outcome/

76 (cardiac adj2 outcome*).tw.

77 mortality.fs.

78 or/73-77

79 62 and 78

80 limit 62 to "prognosis (maximizes sensitivity)" [Limit not valid in PsycINFO; records were retained]

81 79 or 80

82 66 or 72 or 81

83 cohort studies/ or longitudinal studies/ or follow-up studies/ or prospective studies/ or retrospective studies/

84 ((prospective or retrospective) adj3 stud*).tw.

85 (consecutiv* adj5 patient*).tw.

86 or/83-85

5503

244288

737

204214

679034

9891

5943

613696

1061509

5249

361199

1984493

3179

7072

1886143

1246

6447

704769

192393

1881312

1025376

2767509

2065

183577

7661

8891

2082864

609662

275631

2444199

87 82 and 86

88 limit 87 to (danish or english or german or norwegian or swedish)

89 limit 88 to yr="1990 -Current"

90 89 use prmz

91 angina pectoris/

92 chest pain.id.

93 (chest burn or ((cardiac or chest or heart or thorax or thoracic) adj2 pain) or ((cardiac or angina) adj2 syndrome x) or (microvascular adj2 angina) or ((suspected or potential or subsequent* or recurrent or repeat* or previous*) adj2 (acute coronary syndrome* or acs or acute myocardial infarct* or ami or stroke*))).tw.

94 or/91-93

95 hospitalization/ or hospital admission/ or hospital discharge/

96 treatment duration/

97 client transfer/

98 (Readmission or hospital admission or (Health adj (care or service) adj utilization)).id.

99 (ecu visit* or re-admi* or readmi* or re-hospital* or rehospital* or previous* hospitali?* or

(frequent* adj1 (use* or attend* or fl?er*)) or (health adj3 (care or service*) adj3 (consum* or seeking behavio?r* or use* or utili?ation*)) or ((number or rate*) adj3 (admission* or visit*)) or

(repeat* adj2 visit*) or ((subsequent* or recurrent or repeat* or previous*) adj2 hospital adj2

(admission* or encounter* or visit*)) or (patient* adj2 discharge*)).tw.

100 or/95-99

101 94 and 100

102 limit 101 to (danish or english or german or norwegian or swedish)

103 limit 102 to yr="1990 -Current"

104 103 use psyf

105 50 or 90 or 104

106 remove duplicates from 105

Frequent flyers – PubMed – Epub ahead-of-print – 2012-03-24

542810

7845

6992

6725

71

2530

2074

3907

3648

3510

1374

59797

258

60664

114995

306369

66275

129

2907

204214

History

Search Query

#5

#4

#3

Select 100 document(s)

Search (#1) AND #2 Limits: published in the last 2 years

Search (#1) AND #2

Items found

100

1063

5756

#2

#1

#0

Search (“ecu visit*” OR re-admi* OR readmi* OR “re-hospital*” OR rehospital* OR

“previous* hospitaliz*” OR “previous* hospitalis*” OR “frequent* use*” OR “frequent* attend*” OR “frequent flier*” OR “frequent flyer*” OR ((“health care service*”) AND

(consum* OR “seeking behavior*” OR “seeking behaviour*” OR use* OR utilization* OR utilisation*)) OR ((number OR rate*) AND (admission* OR visit*)) OR (repeat* AND visit*)

OR ((subsequent* OR recurrent OR repeat* OR previous*) AND hospital AND (admission*

OR encounter* OR visit*)) OR “patient discharge*” OR “patients discharge*”)

Search (“chest burn” OR “cardiac pain” OR “chest pain” OR “heart pain” OR “thorax pain”

OR “thoracic pain” OR “cardiac syndrome x” OR “angina syndrome x” OR “microvascular angina” OR ((suspected OR potential OR subsequent* OR recurrent OR repeat* OR previous*) AND (“acute coronary syndrome*” OR acs OR “acute myocardial infarct*” OR ami OR stroke*))) pubmed clipboard

130845

111424

100

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