An alternative tool for triaging patients with possible acute coronary symptoms before admission to a chest pain unit - 22/06/18
, Chieh Lee, PhD b, Ai-Hsien Li, MD cAbstract |
Objective |
This study aimed to develop a triage tool to more effectively triage possible ACS patients presenting to the emergency department (ED) before admission to a protocol-driven chest pain unit (CPU).
Methods |
Seven hundred ninety-three clinical cases, randomly selected from 7962 possible ACS cases, were used to develop and test an ACS triage model using cluster analysis and stepwise logistic regression.
Results |
The ACS triage model, logit (suspected ACS patient)=−5.283+1.894×chest pain+1.612×age+1.222×male+0.958×proximal radiation pain+0.962×shock+0.519×acute heart failure, with a threshold value set at 2.5, was developed to triage patients. Compared to four existing methods, the chest-pain strategy, the Zarich's strategy, the flowchart, and the heart broken index (HBI), the ACS triage model had better performance.
Conclusion |
This study developed an ACS triage model for triaging possible ACS patients. The model could be used as a rapid tool in EDs to reduce the workloads of ED nurses and physicians in relation to admissions to the CPU.
Le texte complet de cet article est disponible en PDF.Keywords : Acute coronary syndrome, Chest pain unit, Observation unit, Triage, Emergency department
Plan
| ☆ | Source: Taiwan Ministry of Science and Technology (MOST103-2221-E-155-053-MY3). |
Vol 36 - N° 7
P. 1222-1230 - juillet 2018 Retour au numéro
Article précédent
- Emergency medical technician-performed point-of-care blood analysis using the capillary blood obtained from skin puncture
- Changsun Kim, Hansol Kim
- Pain management of acute limb trauma patients with intravenous lidocaine in emergency department
- Shervin Farahmand, Hadid Hamrah, Mona Arbab, Mojtaba Sedaghat, Hamed Basir Ghafouri, Shahram Bagheri-Hariri
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?