ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
Guideline adherence among prehospital emergency nurses when caring for patients with chest pain: a prospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Prehospital Emergency Nurse competence and pain management in patients with acute abdominal pain: a retrospective observational study.BMC emergency medicine · 2026Observational
- Self-reported adherence of ambulance nurses to acute chest pain guidelines in Southern Sweden: a cross-sectional study.BMJ open · 2026Article
- Significant room for improvement in the prehospital assessment and treatment of acute abdominal pain: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Development and psychometric evaluation of an instrument measuring ambulance nurses' adherence and attitudes to acute chest pain guidelines.BMC nursing · 2024Article
- Prehospital management and outcomes of patients calling with chest pain as the main complaint.International journal of emergency medicine · 2024Article
- Prehospital emergency nurses' experiences of caring for patients with suspected acute myocardial infarction: an interview study.BMJ open · 2024Article
- Hypothetical interventions on emergency ambulance and prehospital acetylsalicylic acid administration in myocardial infarction patients presenting without chest pain.BMC cardiovascular disorders · 2022Article
- Clinical presentation in EMS patients with acute chest pain in relation to sex, age and medical history: prospective cohort study.BMJ open · 2022Observational
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundThe emergency medical services (EMS) use guidelines to describe optimal patient care for a wide range of clinical conditions and symptoms. The intent is to guide personnel to provide patient care in line with best practice. The aim of this study is to describe adherence to such guidelines among prehospital emergency nurses (PENs) when caring for patients with chest pain.
objectiveTo describe guideline adherence among PENs when caring for patients with chest pain. To investigate whether guideline adherence is associated with patient age, sex or final diagnosis of acute myocardial infarction on hospital discharge.
methodsGuideline adherence in terms of patient examination and pharmaceutical treatment was analysed in a cohort of 2092 EMS missions carried out in 2018 in Region Halland, Sweden. Multivariate regression was used to describe how guideline adherence is associated with patient age, sex and diagnosis on hospital discharge.
resultsGuideline adherence was high regarding examination of vital signs (93%) and electrocardiogram (ECG) registration (96%) but lower in terms of pharmaceutical treatment (ranging from 28 to 90%). Adherence was increased in cases in which the patient ended up with acute myocardial infarction (AMI) as diagnosis on discharge. Patients with AMI were given acetylsalicylic acid by PENs in 50% of cases. Women were less likely than men to receive treatment with acetylsalicylic acid and oxycodone.
conclusionsGuideline adherence among PENs when caring for patients with chest pain is satisfactory in terms vital signs and ECG registration. Regarding pharmaceutical treatment guideline adherence is defective. Improved adherence is mainly associated with male sex in patients and a diagnosis of AMI on hospital discharge. Defective adherence excludes measures known to improve patients' prognoses such as treatment with acetylsalicylic acid.
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