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[阿根廷某中心急诊科胸痛单元的临床特征与护理时间]

[Clinical characteristics and care times in a chest pain unit of the emergency department of an argentine center].

作者信息

Grande Ratti María Florencia, Bluro Ignacio Martín, Castillo Fiorella, Zapiola María Elena, Pedretti Ana Soledad, Martínez Bernardo

机构信息

Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Instituto Universitario Hospital Italiano de Buenos Aires Buenos Aires Argentina.

Área de Investigación en Medicina Interna, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Área de Investigación en Medicina Interna, Hospital Italiano de Buenos Aires Buenos Aires Argentina.

出版信息

Arch Peru Cardiol Cir Cardiovasc. 2023 Jun 30;4(2):41-47. doi: 10.47487/apcyccv.v4i2.293. eCollection 2023 Apr-Jun.

DOI:10.47487/apcyccv.v4i2.293
PMID:37780952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10538921/
Abstract

OBJECTIVES

. To report the frequency of precordial pain, describe clinical characteristics, and care times.

METHODS

. Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.

RESULTS

There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).

CONCLUSIONS

Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.

摘要

目的

报告心前区疼痛的发生率，描述临床特征及护理时间。

方法

回顾性描述性研究，纳入了2021年阿根廷一家私立医院急诊科胸痛单元的会诊病例。

结果

共有1469例胸痛患者入院，发生率为1.09%（95%置信区间1.04 - 1.15）。男性占52%，平均年龄62岁（标准差±15）；48%患有高血压，32%患有血脂异常。首次心电图检查的中位时间为4.3分钟（四分位间距2.5 - 7.5）；至医学评估的时间为26分钟（四分位间距14 - 46）。共有206例（14%）住院，中位住院时间为3天，76%入住封闭式病房，9%需要无创通气/机械通气，住院死亡率为2.9%。住院患者获得医疗关注的延迟时间较短（p<0.01），辅助检查的执行情况更好（p<0.01），心电图检查时间无差异（p = 0.22）。

结论

护理时间在规定标准内，是质量的重要指标。护理至关重要，要做好正确分诊、入院时心电图检查，并确保在医学评估前得到护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b4c/10538921/6bec4b217549/apcyccv-44-41-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b4c/10538921/ef1d37ac3a13/apcyccv-44-41-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b4c/10538921/6bec4b217549/apcyccv-44-41-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b4c/10538921/ef1d37ac3a13/apcyccv-44-41-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b4c/10538921/6bec4b217549/apcyccv-44-41-gf2.jpg

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Int J Med Inform. 2021 Dec 11;158:104663. doi: 10.1016/j.ijmedinf.2021.104663.
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[Effect COVID-19 pandemic in an emergency department in Argentina].
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