The Challenge of Triaging Chest Pain Patients : The Bernese University Hospital Experience
المؤلفون المشاركون
Grützmüller, Nadine
Spyridon, Arampatzis
Bertolotti, Amina
Exadaktylos, Aristomenis Konstantinos
Simmen, Urs
Marty, Hans
Zimmermann, Heinz
Rohacek, Martin
المصدر
Emergency Medicine International
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-10-26
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Accurate diagnosis of the causes of chest pain and dyspnea remain challenging.
In this preliminary observational study with a 5-year follow-up, we attempted to find a simplified approach to selecting patients with chest pain needing immediate care based on the initial evaluation in ED.
During a 24-month period were randomly selected 301 patients and a conditional inference tree (CIT) was used as the basis of the prognostic rule.
Common diagnoses were musculoskeletal chest pain (27%), ACS (19%) and panic attack (12%).
Using variables of ACS symptoms we estimated the likelihood of ACS based on a CIT to be high at 91% (32), low at 4% (198) and intermediate at 20.5–40% in (71) patients.
Coronary catheterization was performed within 24 hours in 91% of the patients with ACS.
A culprit lesion was found in 79%.
Follow-up (median 4.2 years) information was available for 70% of the patients.
Of the 164 patients without ACS who were followed up, 5 were treated with revascularization for stable angina pectoris, 2 were treated with revascularization for myocardial infarction, and 25 died.
Although a simple triage decision tree could theoretically help to efficient select patients needing immediate care we need also to be vigilant for those presenting with atypical symptoms.Erratum to “The Challenge of Triaging Chest Pain Patients: The Bernese University Hospital Experience”dx.doi.org/10.1155/2012/493816
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rohacek, Martin& Bertolotti, Amina& Grützmüller, Nadine& Simmen, Urs& Marty, Hans& Zimmermann, Heinz…[et al.]. 2011. The Challenge of Triaging Chest Pain Patients : The Bernese University Hospital Experience. Emergency Medicine International،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-512854
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rohacek, Martin…[et al.]. The Challenge of Triaging Chest Pain Patients : The Bernese University Hospital Experience. Emergency Medicine International No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-512854
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rohacek, Martin& Bertolotti, Amina& Grützmüller, Nadine& Simmen, Urs& Marty, Hans& Zimmermann, Heinz…[et al.]. The Challenge of Triaging Chest Pain Patients : The Bernese University Hospital Experience. Emergency Medicine International. 2011. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-512854
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-512854
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر