McDevitt-Petrovic Orla, Kirby Karen, Shevlin Mark
School of Psychology and Psychology research Institute, Ulster University, Derry, BT48 7JL, UK.
BMC Health Serv Res. 2017 Aug 9;17(1):549. doi: 10.1186/s12913-017-2493-8.
The aim of this study was to assess the frequency of chest pain presentations and the subsequent non-cardiac chest pain diagnoses in an emergency department (ED) over a 3 year period.
Administrative data on ED attendances to an urban general hospital in Northern Ireland between March 2013 and March 2016 were used. Data were coded and analysed to estimate frequencies of 'chest pain' presentation and the subsequent diagnoses for each year.
Both chest pain presentations and chest pain presentations with a subsequent diagnosis of unknown cause increased each year. In total, 58.7% of all chest presentations across 3 years resulted in a non-cardiac diagnosis of either 'anxiety', 'panic' or 'chest pain of unknown cause'.
There is a significant amount of patients in the ED leaving with a non-cardiac diagnosis, following an initial presentation with chest pain.
Given the link between non-cardiac chest pain and frequent use of services, the degree of repeat attendance should be investigated.
本研究旨在评估三年期间急诊科胸痛就诊的频率以及随后非心源性胸痛的诊断情况。
使用了2013年3月至2016年3月期间北爱尔兰一家城市综合医院急诊科就诊的管理数据。对数据进行编码和分析，以估计每年“胸痛”就诊的频率以及随后的诊断情况。
胸痛就诊以及随后诊断为病因不明的胸痛就诊每年都在增加。在三年的所有胸痛就诊病例中，总计58.7%最终被诊断为非心源性疾病，诊断结果为“焦虑”“惊恐”或“病因不明的胸痛”。
在最初表现为胸痛后，急诊科有相当数量的患者最终被诊断为非心源性疾病。
鉴于非心源性胸痛与频繁就医之间的联系，应调查复诊的频率。
