Agreement between APPs and physicians in interpreting 12-lead ECGs for STEMI in the correctional setting: An analysis.

Authors

Nick Entsminger

Published in

JAAPA : official journal of the American Academy of Physician Assistants. Oct 14, 2025. Epub Oct 14, 2025.

Abstract

This pilot study assesses diagnostic agreement between correctional advanced practice providers (APPs) and physicians in interpreting 12-lead ECG results for STEMI diagnosis, with the aim of determining whether APPs offer comparable care to adult correctional populations that decreases ED burden.
This study compared the diagnostic accuracy of APPs with that of physicians in identifying STEMI through an online 12-lead ECG assessment based on current guideline criteria. Sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy were calculated for each profession. Unadjusted odds ratio (OR) with 95% CI were used to compare groups.
Of the 37 total completed submissions, no statistically significant difference was observed in overall 12-lead ECG STEMI diagnostic accuracy among the groups.
Correctional APPs and physicians had comparable accuracy in using 12-lead ECGs to identify STEMI, and evaluation by an APP in the correctional setting does not increase the likelihood of ED evaluation. However, a quality improvement study entailing use of larger sample sizes and proctor-controlled assessments is needed to accurately determine APP 12-lead ECG STEMI competency.

PMID:
41086301
Bibliographic data and abstract were imported from PubMed on 15 Oct 2025.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.