ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2017
How do patients with chest pain access Emergency Department care?
Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Factors associated with prehospital delay in acute myocardial infarction in Maldives.International journal of emergency medicine · 2023Article
- Transfer learning enables prediction of myocardial injury from continuous single-lead electrocardiography.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Enhanced triage for patients with suspected cardiac chest pain: the History and Electrocardiogram-only Manchester Acute Coronary Syndromes decision aid.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2019Article
- Pre-Hospital Factors Influencing Time of Arrival at Emergency Departments for Patients with Acute ST-Elevation Myocardial Infarction.The Malaysian journal of medical sciences : MJMS · 2019Article
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Authors and funding
6 authors.
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Abstract
backgroundIt 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).
objectiveThis 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?
methodsConsecutive patients, arriving at the ED of two large hospitals in Belgium, were asked additional questions during the initial assessment.
resultsOverall, 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).
conclusionIn 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.
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