Chest pain units: A necessity or only a name to encourage patients
<p class="abstract"><strong>BACKGROUND:</strong> Acute chest pain is a common symptom among patients presenting to emergency wards. Identification and admission of patients with real acute coronary syndrome and preventing the hospitalization of people with false diagnosis...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Vesnu Publications
2012-11-01
|
Series: | ARYA Atherosclerosis |
Online Access: | http://arya.mui.ac.ir/index.php/arya/article/view/473 |
id |
doaj-d1a40a24a02f47aaa258bc25ab13e74a |
---|---|
record_format |
Article |
spelling |
doaj-d1a40a24a02f47aaa258bc25ab13e74a2020-11-24T22:22:23ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382012-11-0183158160341Chest pain units: A necessity or only a name to encourage patientsAhmad Reza Asareh0Nasim Azadi1Safar Ali Tahmasebi2Tooba Sahraei3Razieh Dabbagh4Ebrahim Hajizadeh5Kamran Mahdavi6Ali Heydari7Mohammad Alasti8Assistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Cardiology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran<p class="abstract"><strong>BACKGROUND:</strong> Acute chest pain is a common symptom among patients presenting to emergency wards. Identification and admission of patients with real acute coronary syndrome and preventing the hospitalization of people with false diagnosis of coronary syndrome are the most important tasks in emergency wards. The purpose of this study was to investigate the usefulness of designing a special chest pain unit in emergency department of Imam Khomeini Hospital (Ahvaz, Iran).</p> <p class="abstract"><strong> </strong><strong>METHODS:</strong> The patients with markers of ongoing cardiac ischemia underwent selective coronary angiography. The chest pain unit protocol was applied to selected patients with no definite evidence of acute coronary syndrome or alternative pathology. The protocol consisted of twelve hours of observation and serial 12-lead electrocardiography, transthoracic echocardiography, and biochemical testing followed by an exercise treadmill test. We compared the number of patients who were discharged after work up, discharged themselves against medical advice, admitted at coronary care unit (CCU), underwent invasive procedures or died between 2007 and 2010.</p> <p class="abstract"><strong> RESULTS: </strong>During 2010, 43% of patients were discharged after evaluation in the chest pain unit. In 2007 however, 26% were discharged following traditional assessments. The admission rate increased from 23% in 2007 to 36% in 2010. The percentage of patients who discharged themselves against medical advice decreased from 37% in 2007 to 14% in 2010. There was not a statistically significant difference between mortality rates in 2007 and 2010.</p> <p class="abstract"><strong> </strong><strong>CONCLUSION:</strong> Providing a special chest pain unit in emergency ward in our condition is helpful. It reduces unnecessary admissions and improves patient satisfaction.</p> <p class="abstract"> </p><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td width="35" height="12"><br /></td></tr> <tr><td><br /></td> <td> </td></tr></tbody></table> <br /> <p class="abstract"><strong>Keywords:</strong> Chest Pain Unit, Acute Coronary Syndrome, Myocardial Infarction</p> <p class="abstract"> </p>http://arya.mui.ac.ir/index.php/arya/article/view/473 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmad Reza Asareh Nasim Azadi Safar Ali Tahmasebi Tooba Sahraei Razieh Dabbagh Ebrahim Hajizadeh Kamran Mahdavi Ali Heydari Mohammad Alasti |
spellingShingle |
Ahmad Reza Asareh Nasim Azadi Safar Ali Tahmasebi Tooba Sahraei Razieh Dabbagh Ebrahim Hajizadeh Kamran Mahdavi Ali Heydari Mohammad Alasti Chest pain units: A necessity or only a name to encourage patients ARYA Atherosclerosis |
author_facet |
Ahmad Reza Asareh Nasim Azadi Safar Ali Tahmasebi Tooba Sahraei Razieh Dabbagh Ebrahim Hajizadeh Kamran Mahdavi Ali Heydari Mohammad Alasti |
author_sort |
Ahmad Reza Asareh |
title |
Chest pain units: A necessity or only a name to encourage patients |
title_short |
Chest pain units: A necessity or only a name to encourage patients |
title_full |
Chest pain units: A necessity or only a name to encourage patients |
title_fullStr |
Chest pain units: A necessity or only a name to encourage patients |
title_full_unstemmed |
Chest pain units: A necessity or only a name to encourage patients |
title_sort |
chest pain units: a necessity or only a name to encourage patients |
publisher |
Vesnu Publications |
series |
ARYA Atherosclerosis |
issn |
1735-3955 2251-6638 |
publishDate |
2012-11-01 |
description |
<p class="abstract"><strong>BACKGROUND:</strong> Acute chest pain is a common symptom among patients presenting to emergency wards. Identification and admission of patients with real acute coronary syndrome and preventing the hospitalization of people with false diagnosis of coronary syndrome are the most important tasks in emergency wards. The purpose of this study was to investigate the usefulness of designing a special chest pain unit in emergency department of Imam Khomeini Hospital (Ahvaz, Iran).</p> <p class="abstract"><strong> </strong><strong>METHODS:</strong> The patients with markers of ongoing cardiac ischemia underwent selective coronary angiography. The chest pain unit protocol was applied to selected patients with no definite evidence of acute coronary syndrome or alternative pathology. The protocol consisted of twelve hours of observation and serial 12-lead electrocardiography, transthoracic echocardiography, and biochemical testing followed by an exercise treadmill test. We compared the number of patients who were discharged after work up, discharged themselves against medical advice, admitted at coronary care unit (CCU), underwent invasive procedures or died between 2007 and 2010.</p> <p class="abstract"><strong> RESULTS: </strong>During 2010, 43% of patients were discharged after evaluation in the chest pain unit. In 2007 however, 26% were discharged following traditional assessments. The admission rate increased from 23% in 2007 to 36% in 2010. The percentage of patients who discharged themselves against medical advice decreased from 37% in 2007 to 14% in 2010. There was not a statistically significant difference between mortality rates in 2007 and 2010.</p> <p class="abstract"><strong> </strong><strong>CONCLUSION:</strong> Providing a special chest pain unit in emergency ward in our condition is helpful. It reduces unnecessary admissions and improves patient satisfaction.</p> <p class="abstract"> </p><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td width="35" height="12"><br /></td></tr> <tr><td><br /></td> <td> </td></tr></tbody></table> <br /> <p class="abstract"><strong>Keywords:</strong> Chest Pain Unit, Acute Coronary Syndrome, Myocardial Infarction</p> <p class="abstract"> </p> |
url |
http://arya.mui.ac.ir/index.php/arya/article/view/473 |
work_keys_str_mv |
AT ahmadrezaasareh chestpainunitsanecessityoronlyanametoencouragepatients AT nasimazadi chestpainunitsanecessityoronlyanametoencouragepatients AT safaralitahmasebi chestpainunitsanecessityoronlyanametoencouragepatients AT toobasahraei chestpainunitsanecessityoronlyanametoencouragepatients AT raziehdabbagh chestpainunitsanecessityoronlyanametoencouragepatients AT ebrahimhajizadeh chestpainunitsanecessityoronlyanametoencouragepatients AT kamranmahdavi chestpainunitsanecessityoronlyanametoencouragepatients AT aliheydari chestpainunitsanecessityoronlyanametoencouragepatients AT mohammadalasti chestpainunitsanecessityoronlyanametoencouragepatients |
_version_ |
1725768632509661184 |