Evidence map›Paper›PMID 32491206›Full record

ArticleResearch in nursing & health2020

Exploring the complex interactions of baseline patient factors to improve nursing triage of acute coronary syndrome.

Stephanie O Frisch, Julissa Brown, Ziad Faramand, Jennifer Stemler, Ervin Sejdić, Christian Martin-Gill, Clifton Callaway, Susan M Sereika, Salah S Al-Zaiti

Open access · greenAbstract read
In one paragraph

Article in Research in nursing & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stephanie O FrischDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.ORCID 0000-0003-3692-3125
Julissa BrownDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Ziad FaramandDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Jennifer StemlerDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Ervin SejdićDepartment of Electrical and Computer Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania.
Christian Martin-GillUniversity of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania.
Clifton CallawayUniversity of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania.
Susan M SereikaCenter for Research and Evaluation, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Salah S Al-ZaitiDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
University of Pittsburgh · US

Funding

Electrocardiographic Detection of Non-ST Elevation Myocardial Events for Accelerated Classification of Chest Pain Encounters (ECG-SMART 2)R01HL137761 · NHLBI · UNIVERSITY OF ROCHESTER · PI Salah S Al-Zaiti · 2018 to 2026
$4.0M
Modernizing Emergency Department Nurse Triage via Big Data AnalyticsF31NR018589 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FRISCH, STEPHANIE O. · 2019 to 2020
$59k
NHLBI NIH HHS R01 HL137761NINR NIH HHS F31 NR018589
6 · The paper itself

Abstract

Emergency department (ED) nurses need to identify patients with potential acute coronary syndrome (ACS) rapidly because treatment delay could impact patient outcomes. Aims of this secondary analysis were to identify key patient factors that could be available at initial ED nurse triage that predict ACS. Consecutive patients with chest pain who called 9-1-1, received a 12-lead electrocardiogram in the prehospital setting, and were transported via emergency medical service were included in the study. A total of 750 patients were recruited. The sample had an average age of 59 years old, was 57% male, and 40% Black. One hundred and fifteen patients were diagnosed with ACS. Older age, non-Caucasian race, and faster respiratory rate were independent predictors of ACS. There was an interaction between heart rate by Type II diabetes receiving insulin in the context of ACS. Type II diabetics requiring insulin for better glycemic control manifested a faster heart rate. By identifying patient factors at ED nurse triage that could be predictive of ACS, accuracy rates of triage may improve, thus impacting patient outcomes.

Indexed as

Early DiagnosisAcute Coronary SyndromeAdultAgedAged, 80 and overChest PainDiagnostic Techniques and ProceduresEmergency NursingFemaleHumansMaleMiddle AgedPractice Guidelines as TopicTriageacute coronary syndromechest painemergency departmentemergency nursingtriage

Identifiers

PMID32491206
PMCPMC7684997
OpenAlexW3030413755

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.