aDepartment General Practice, KU Leuven bDepartment of Emergency Medicine, University Hospitals Leuven, Leuven cDepartment of Cardiology, Chest Pain Unit, Hospital ZOL Genk, Lanaken, Belgium dDepartment of Family Medicine, University of Maastricht, Maastricht, The Netherlands.
Eur J Emerg Med. 2017 Dec;24(6):423-427. doi: 10.1097/MEJ.0000000000000393.
It is important that patients with symptoms of acute coronary syndrome receive appropriate medical care as soon as possible. Little is known about the preadmission actions that patients with chest pain take before arrival at the Emergency Department (ED).
This study aimed to describe the actions of patients with chest pain or pressure after onset of symptoms. What is the first action following onset of symptoms? Who is the first lay or professional person to be contacted? Which steps are taken first? How is the patient transported to the hospital?
Consecutive patients, arriving at the ED of two large hospitals in Belgium, were asked additional questions during the initial assessment.
Overall, 35% of 412 consecutive patients with chest pain admitted to the ED were diagnosed with acute coronary syndrome. A total of 57% contacted a GP between symptom onset and arrival at the ED. Only 32% of the patients were transported to the ED by ambulance, 16% drove themselves and 52% arrived by other means of transport (by family, neighbour, GP, public transport).
In Belgium, the GP is still the first professional to be contacted for most patients. Other patients initially rely on their partner, family or friends when symptoms emerge. Too often, patients with chest pain rely on other transport to get to the ED instead of calling the Emergency Medical Services. This study included only patients who ultimately attended the ED.
对于出现急性冠状动脉综合征症状的患者来说，尽快获得适当的医疗护理非常重要。然而，人们对胸痛患者在到达急诊科 (ED) 之前的入院前行动知之甚少。
本研究旨在描述胸痛或压迫感出现后的患者的行为。症状出现后的第一个动作是什么？首先联系的是外行还是专业人员？首先采取哪些步骤？患者如何被送往医院？
连续就诊于比利时两家大医院急诊科的患者在初步评估期间被额外询问了一些问题。
在急诊科就诊的 412 例连续胸痛患者中，35%被诊断为急性冠状动脉综合征。共有 57%的患者在出现症状至到达 ED 期间联系了全科医生。只有 32%的患者通过救护车送往 ED，16%自行驾车，52%通过其他交通工具（家人、邻居、全科医生、公共交通工具）到达（n=214）。
在比利时，对于大多数患者来说，全科医生仍然是第一个联系的专业人员。其他患者在出现症状时最初会依赖伴侣、家人或朋友。然而，太多胸痛患者依靠其他交通工具去急诊科，而不是拨打急救医疗服务电话。本研究仅纳入最终就诊于 ED 的患者。
