Abstract
Background: Chest pain is one of the most common symptoms in emergency department visits, family health centres and pre-hospital emergency health services. The underlying causes can range from myalgia to psychological pain, heart attack to pneumothorax. If the underlying cause is missed, it results in serious mortality and morbidity. Therefore, the management of patients presenting with chest pain becomes very important.
Methods: All patients who were referred to the emergency department with a prediagnosis of chest pain from an external centre, met the inclusion criteria, and admitted to our hospital between 01.01.2020-31.08.2023 were included in our retrospective study conducted at Balıkesir University Faculty of Medicine, Department of Emergency Medicine.
Results: The highest number of referrals were from C-role group hospitals and most of the referrals were between 00:00-04:00. It was observed that the applications were more common on weekdays and most common on Fridays. The most common complaint was chest pain and palpitations in February. It was found that the majority of the referred patients were consulted and then hospitalised and the most common hospitalisations were in February. It was observed that the most common hospitalisations were in cardiology and coronary intensive care.
Conclusion: By analysing the data we obtained, it was aimed to contribute to the effective use of services in emergency departments and to contribute to the pre-hospital and in-hospital management of patients referred with chest pain.
References
- Al-Lamee RK, N. A. (2019). Percutaneous coronary intervention for stable coronary artery disease. Heart. 105(1), 11-19.
- Aygun E, A. S. (2020). Aetiological evaluation of chest pain in childhood and adolescence. Cardiology in the Young, 30(5), 1-7.
- Backusa B.E., T. R. (2020). The new era of chest pain evaluation in the Netherlands. European Journal of Emergency Medicine, 27(4), 243–244.
- Beatrijs Bn Hoorweg, R. T. (2017). Frequency of chest pain in primary care, diagnostic tests performed and final diagnoses. Heart, 103(21), 1727-1732.
- Bonow R, M. D. (2018). Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, Approach to the Patient with Chest Pain. Eleventh Edition ed. Elsevier.
- Burt C.W., M. L. (2006). Analysis of Ambulance Transports and Diversions Among US Emergency Departments. Annals of Emergency Medicine, 47(4), 317-326.
- Bhatt D. L. (2023). Cardiovascular Intervention E-Book (2d Edition): A Companion to Braunwald’s Heart Disease.
- Carubbi, C. M. (2019). Combination of Platelet expression of PKCepsilon and cardiac troponin-I for early diagnosis of chest pain patients in the emergency department. Scientific Reports, 9(1), 2125.
- Coşkun S. Ö., D. V. (2015). Acil Servise Göğüs Ağrısı İle Başvuran Hastaların Akut Koroner Sendrom Oranlarının Değerlendirilmesi. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi, 19(2), 84-94.
- Deniz A.T., D. A. (2020). Analysıs Of Patıents Admıtted To A Unıversıty Hospıtal Emergency Room Wıth 112. Medical Journal of Süleyman Demirel University, 27(2), 192-198
- Ertan, C. A. (2010). Bir üniversite hastanesi acil servisine yapılan sevklerin incelenmesi. Türkiye Acil Tıp Dergisi, 10(2), 65-70.
- Fass R, D. R. (2006). Non-cardiac chest pain: an update. Neurogastroenterol Motil, 18(6), 408-17.
- Id. J. S.. Lu. J.. Goudie. A.. Bennamoun. M.. Sprivulis. P.. Sanfillipo. F.. and Dwivediid. G. (2021). Applications of machine learning to undifferentiated chest pain in the emergency department: A systematic review. Journals.Plos. 16(8)
- Jonathon Stewart, J. L. (2021). Applications of machine learning to undifferentiated chest pain in the emergency department: A systematic review. PLoS One, 16, 8.
- Knockaert, D. B. (2002). Chest pain in the emergency department: the broad spectrum of causes, European Journal of Emergency Medicine, 9(1), 25-30.
- Kontos M.C., J. R. (2000). Evulation of the emergency departman chest pain patient. The American Journal of Cardiology, 85(5), 32-39.
- McCaig LF, B. C. (2004). National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data, 340, 1-34.
- Özen, M. S. (2012). Acil Servise Başvuran Akut Koroner Sendrom Tanılı Hastaların Sosyodemografık ve Klinik Özellikleri. Turkish Journal of Emergency Medicine, 3.
- Rudi Bruyninckx, A. V. (2009). GPs' reasons for referral of patients with chest pain: a qualitative study. BMC Fam Pract., 10, 55.
- Sweeney M., S. S. (2020). The impact of an acute chest pain pathway on the investigation and management of cardiac chest pain. Future healthcare Journals, 10(1), 53-59.
- Tim Alex Lindskou, P. J. (2023). More emergency patients presenting with chest pain. PLoS One. 18(3).
- Wolinsky, D. (2017). Imaging for chest pain in the emergency room: Finding the right gate not the right gatekeeper. Journal of Nuclear Cardiology, 24, 2012-4.
Abstract
Amaç: Göğüs ağrısı acil servis başvurularında, aile sağlığı merkezlerinde ve hastane öncesi acil sağlık hizmetlerinde en sık görülen semptomlardan biridir. Altta yatan nedenler miyaljiden psikolojik ağrıya, kalp krizinden pnömotoraksa kadar değişebilir. Altta yatan neden atlandığında ciddi mortalite ve morbiditeye neden olur. Bu nedenle göğüs ağrısı ile başvuran hastaların yönetimi oldukça önem kazanmaktadır. Gereç ve Yöntem: Balıkesir Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı'nda yürütülen retrospektif çalışmamıza, dış bir merkezden göğüs ağrısı ön tanısı ile acil servise sevk edilen, dahil etme kriterlerini karşılayan ve 01.01.2020-31.08.2023 tarihleri arasında hastanemize başvuran tüm hastalar dahil edildi. Bulgular: En fazla sevk C-rol grubu hastanelerden yapılmış olup, sevklerin çoğu 00:00-04:00 saatleri arasında olmuştur. Başvuruların hafta içi ve en sık Cuma günleri olduğu gözlenmiştir. Şubat ayında en sık görülen şikayet göğüs ağrısı ve çarpıntıydı. Sevk edilen hastaların çoğunluğunun konsültasyonla hastaneye yatırıldığı ve en sık hastaneye yatışın Şubat ayında olduğu görüldü. En sık hastaneye yatışın kardiyoloji ve koroner yoğun bakımda olduğu görüldü. Sonuç: Elde ettiğimiz verileri analiz ederek acil servislerdeki hizmetlerin etkin kullanımına katkıda bulunmak ve göğüs ağrısıyla sevk edilen hastaların hastane öncesi ve hastane içi yönetimine katkıda bulunmak amaçlandı.
Keywords
References
- Al-Lamee RK, N. A. (2019). Percutaneous coronary intervention for stable coronary artery disease. Heart. 105(1), 11-19.
- Aygun E, A. S. (2020). Aetiological evaluation of chest pain in childhood and adolescence. Cardiology in the Young, 30(5), 1-7.
- Backusa B.E., T. R. (2020). The new era of chest pain evaluation in the Netherlands. European Journal of Emergency Medicine, 27(4), 243–244.
- Beatrijs Bn Hoorweg, R. T. (2017). Frequency of chest pain in primary care, diagnostic tests performed and final diagnoses. Heart, 103(21), 1727-1732.
- Bonow R, M. D. (2018). Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, Approach to the Patient with Chest Pain. Eleventh Edition ed. Elsevier.
- Burt C.W., M. L. (2006). Analysis of Ambulance Transports and Diversions Among US Emergency Departments. Annals of Emergency Medicine, 47(4), 317-326.
- Bhatt D. L. (2023). Cardiovascular Intervention E-Book (2d Edition): A Companion to Braunwald’s Heart Disease.
- Carubbi, C. M. (2019). Combination of Platelet expression of PKCepsilon and cardiac troponin-I for early diagnosis of chest pain patients in the emergency department. Scientific Reports, 9(1), 2125.
- Coşkun S. Ö., D. V. (2015). Acil Servise Göğüs Ağrısı İle Başvuran Hastaların Akut Koroner Sendrom Oranlarının Değerlendirilmesi. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi, 19(2), 84-94.
- Deniz A.T., D. A. (2020). Analysıs Of Patıents Admıtted To A Unıversıty Hospıtal Emergency Room Wıth 112. Medical Journal of Süleyman Demirel University, 27(2), 192-198
- Ertan, C. A. (2010). Bir üniversite hastanesi acil servisine yapılan sevklerin incelenmesi. Türkiye Acil Tıp Dergisi, 10(2), 65-70.
- Fass R, D. R. (2006). Non-cardiac chest pain: an update. Neurogastroenterol Motil, 18(6), 408-17.
- Id. J. S.. Lu. J.. Goudie. A.. Bennamoun. M.. Sprivulis. P.. Sanfillipo. F.. and Dwivediid. G. (2021). Applications of machine learning to undifferentiated chest pain in the emergency department: A systematic review. Journals.Plos. 16(8)
- Jonathon Stewart, J. L. (2021). Applications of machine learning to undifferentiated chest pain in the emergency department: A systematic review. PLoS One, 16, 8.
- Knockaert, D. B. (2002). Chest pain in the emergency department: the broad spectrum of causes, European Journal of Emergency Medicine, 9(1), 25-30.
- Kontos M.C., J. R. (2000). Evulation of the emergency departman chest pain patient. The American Journal of Cardiology, 85(5), 32-39.
- McCaig LF, B. C. (2004). National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data, 340, 1-34.
- Özen, M. S. (2012). Acil Servise Başvuran Akut Koroner Sendrom Tanılı Hastaların Sosyodemografık ve Klinik Özellikleri. Turkish Journal of Emergency Medicine, 3.
- Rudi Bruyninckx, A. V. (2009). GPs' reasons for referral of patients with chest pain: a qualitative study. BMC Fam Pract., 10, 55.
- Sweeney M., S. S. (2020). The impact of an acute chest pain pathway on the investigation and management of cardiac chest pain. Future healthcare Journals, 10(1), 53-59.
- Tim Alex Lindskou, P. J. (2023). More emergency patients presenting with chest pain. PLoS One. 18(3).
- Wolinsky, D. (2017). Imaging for chest pain in the emergency room: Finding the right gate not the right gatekeeper. Journal of Nuclear Cardiology, 24, 2012-4.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | RESEARCH ARTICLE |
| Authors | |
| Early Pub Date | April 24, 2025 |
| Publication Date | April 25, 2025 |
| Submission Date | March 10, 2025 |
| Acceptance Date | April 17, 2025 |
| Published in Issue | Year 2025 Volume: 9 Issue: 1 |
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