How do patients with chest pain access Emergency Department care?

被引:9
作者
Van Severen, Evie [1 ]
Willemsen, Robert [4 ]
Vandervoort, Pieter [3 ]
Sabbe, Marc [2 ]
Dinant, Geert-Jan [4 ]
Buntinx, Frank [1 ,4 ]
机构
[1] Katholieke Univ Leuven, Dept Gen Practice, B-3000 Leuven, Belgium
[2] Univ Hosp Leuven, Dept Emergency Med, Leuven, Belgium
[3] Hosp ZOL Genk, Chest Pain Unit, Dept Cardiol, Lanaken, Belgium
[4] Univ Maastricht, Dept Family Med, Maastricht, Netherlands
关键词
cardiovascular; chest pain; primary healthcare; referral; symptom onset; transport to emergency department; ACUTE MYOCARDIAL-INFARCTION; SEEKING TREATMENT; SYMPTOMS; DELAY; THROMBOLYSIS; DECISION; IMPACT;
D O I
10.1097/MEJ.0000000000000393
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background It is important that patients with symptoms of acute coronary syndrome receive appropriate medical care as soon as possible. Little is known about the preadmission actions that patients with chest pain take before arrival at the Emergency Department (ED). Objective This study aimed to describe the actions of patients with chest pain or pressure after onset of symptoms. What is the first action following onset of symptoms? Who is the first lay or professional person to be contacted? Which steps are taken first? How is the patient transported to the hospital? Methods Consecutive patients, arriving at the ED of two large hospitals in Belgium, were asked additional questions during the initial assessment. Results Overall, 35% of 412 consecutive patients with chest pain admitted to the ED were diagnosed with acute coronary syndrome. A total of 57% contacted a GP between symptom onset and arrival at the ED. Only 32% of the patients were transported to the ED by ambulance, 16% drove themselves and 52% arrived by other means of transport (by family, neighbour, GP, public transport). Conclusion In Belgium, the GP is still the first professional to be contacted for most patients. Other patients initially rely on their partner, family or friends when symptoms emerge. Too often, patients with chest pain rely on other transport to get to the ED instead of calling the Emergency Medical Services. This study included only patients who ultimately attended the ED. Copyright (c) 2017 The Author(s). Published by Wolters Kluwer Health, Inc.
引用
收藏
页码:423 / 427
页数:5
相关论文
共 50 条
  • [21] Role of Chest Radiography in the Management of Patients with Chest Pain and Dyspnea in the Emergency Department
    Demircan, Ahmet
    Karcioglu, Ozgur
    Yanturali, Sedat
    Kelefi, Ayfer
    Koyuncu, Nazmiye
    Ozucelik, D. Niyazi
    Soysal, Suna
    Unal, Belgin
    Balci, Pinar
    Cimrin, Arif H.
    TURKISH JOURNAL OF EMERGENCY MEDICINE, 2006, 6 (02): : 60 - 65
  • [22] Diurnal variation in admission troponin concentrations in patients with chest pain in the emergency department
    Roos, Andreas
    Holzmann, Martin J.
    CLINICAL BIOCHEMISTRY, 2018, 54 : 18 - 24
  • [23] Ethnic differences in clinical outcome of patients presenting to the emergency department with chest pain
    de Hoog, Vince C.
    Lim, Swee Han
    Bank, Ingrid E. M.
    Gijsberts, Crystel M.
    Ibrahim, Irwani B.
    Kuan, Win Sen
    Ooi, Shirley B. S.
    Chua, Terrance
    den Ruijter, Hester M.
    Pasterkamp, Gerard
    Tai, E. Shyong
    Gao, Fei
    Doevendans, Pieter A.
    Wildbergh, Thierry X.
    Mosterd, Arend
    Richards, A. Mark
    de Kleijn, Dominique P. V.
    Timmers, Leo
    EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE, 2016, 5 (07) : 32 - 40
  • [24] Initial Evaluation and Management of Patients Presenting with Acute Chest Pain in the Emergency Department
    Lee, Paul Y.
    Saad, Kyrollos
    Hossain, Afif
    Lieu, Irene
    Allencherril, Joseph
    CURRENT CARDIOLOGY REPORTS, 2023, 25 (12) : 1677 - 1686
  • [25] Physician Variability in Management of Emergency Department Patients with Chest Pain
    Smulowitz, Peter B.
    Barrett, Orit
    Hall, Matthew M.
    Grossman, Shamai A.
    Ullman, Edward A.
    Novack, Victor
    WESTERN JOURNAL OF EMERGENCY MEDICINE, 2017, 18 (04) : 592 - 600
  • [26] EFFECT OF GENDER ON THE EMERGENCY DEPARTMENT EVALUATION OF PATIENTS WITH CHEST PAIN
    SILBERGLEIT, R
    MCNAMARA, RM
    ACADEMIC EMERGENCY MEDICINE, 1995, 2 (02) : 115 - 119
  • [27] Risk Scores for Patients with Chest Pain: Evaluation in the Emergency Department
    Backus, B. E.
    Six, A. J.
    Kelder, J. H.
    Gibler, W. B.
    Moll, F. L.
    Doevendans, P. A.
    CURRENT CARDIOLOGY REVIEWS, 2011, 7 (01) : 2 - 8
  • [28] Suicidality and panic in emergency department patients with unexplained chest pain
    Foldes-Busque, Guillaume
    Fleet, Richard
    Poitras, Julien
    Chauny, Jean-Marc
    Diodati, Jean G.
    Marchand, Andre
    GENERAL HOSPITAL PSYCHIATRY, 2012, 34 (02) : 178 - 184
  • [29] Variance cardiography for emergency department evaluation of chest pain patients
    Spadafore, JC
    Lieber, JG
    Vasilenko, P
    ACADEMIC EMERGENCY MEDICINE, 1996, 3 (04) : 326 - 332
  • [30] Gender perspective in the care experience and in the results of patients who consult for chest pain in an emergency department
    Grande-Ratti, Maria F.
    Llamedo, Maria C.
    Pires, Agustina B.
    Giuffre, Maria, V
    Garrido, Brenda N.
    Saldarini, Agustina
    Touzas, Pedro
    Martinez, Bernardo
    Bluro, Ignacio M.
    ARCHIVOS DE CARDIOLOGIA DE MEXICO, 2024, : 412 - 419