Bjørnsen Lars Petter, Naess-Pleym Lars Eide, Dale Jostein, Grenne Bjørnar, Wiseth Rune
a Emergency Department , St. Olav's Hospital-Trondheim University Hospital , Trondheim , Norway.
b Department of Circulation and Medical Imaging , Norwegian University of Science and Technology , Trondheim , Norway.
Scand Cardiovasc J. 2019 Feb;53(1):28-34. doi: 10.1080/14017431.2019.1583362. Epub 2019 Feb 26.
Chest pain is one of the most frequent chief complaints in patients admitted to the emergency department (ED). No study has evaluated this patient population in Norway. The aim of the present study was to describe the diagnoses and logistics of chest pain patients admitted to the ED at a Norwegian university hospital.
Data were collected from all patients referred to the ED at St. Olav's Hospital-Trondheim University Hospital in 2015. Patients presenting at the ED with a chief complaint of chest pain based on the Rapid Emergency Triage and Treatment System were included in this study.
In the study period, 22,403 patients were admitted to the ED. Chest pain was the second most common chief complaint (11%), only exceeded by acute abdominal pain (18%). Among the chest pain patients, 12% had acute coronary syndrome (ACS) and 37% were diagnosed with non-specific chest pain. Gastrointestinal, musculoskeletal, and pulmonary conditions were less common, affecting 6%, 4%, and 4% of the patients, respectively. In total, 90% of the ED chest pain patients were handled by the Clinic of Cardiology.
Chest pain was the second most common chief complaint among patients admitted to the ED, and most patients were handled by the Clinic of Cardiology. More than one-third of the patients received a cardiac diagnosis, but the largest group of patients was discharged with a diagnosis of non-specific chest pain. Other conditions managed by non-cardiac medical specialties were less common.
胸痛是急诊科收治患者最常见的主要症状之一。挪威尚无研究对这一患者群体进行评估。本研究旨在描述挪威一家大学医院急诊科收治的胸痛患者的诊断情况及诊疗流程。
收集了2015年转诊至特隆赫姆大学医院圣奥拉夫医院急诊科的所有患者的数据。本研究纳入了基于快速急诊分诊与治疗系统以胸痛为主诉就诊于急诊科的患者。
在研究期间，22403名患者被收治入急诊科。胸痛是第二常见的主要症状（11%），仅次于急性腹痛（18%）。在胸痛患者中，12%患有急性冠状动脉综合征（ACS），37%被诊断为非特异性胸痛。胃肠道、肌肉骨骼和肺部疾病较少见，分别影响6%、4%和4%的患者。总体而言，90%的急诊科胸痛患者由心脏病科诊治。
胸痛是急诊科收治患者中第二常见的主要症状，大多数患者由心脏病科诊治。超过三分之一的患者被诊断为心脏病，但最大的患者群体出院时诊断为非特异性胸痛。非心脏医学专科处理的其他疾病较少见。
