Description of chest pain patients in the Emergency Department at Sheikh Khalifa Medical City Ajman

Author:

Fouda Ghada1,Vallabh Kamil2,Elbahrawy Magda1

Affiliation:

1. Suez Canal University

2. Shaikh Khalifa Medical City

Abstract

Abstract results Mean age of the studied population was 49.22 ± 12.65, most of the studied population were males, Male to female ratio was 2:1, mode of transport was mainly by Walking 94 (47%), private vehicle 50 (25%) and by ambulance 31(15.5%). Majority of patients were given triage 3 (moderate pain severity) 156 (78%), mean heart rate was 87.56 ± 17.97. In the 200 study population 103 were diagnosed as nonspecific chest pain 103 (51.5%), 27 (13.5%) were musculoskeletal chest pain. We found that 26 patients (13%) suffered from acute myocardial infarction (18 STEMI and 8 NSTEMI). Regarding the 18 patients with STEMI 15 (83.3%) were males and 3 (16.7%) were females, 12 sent for PCI and 6 for thrombolysis. Admitted patients were 40 (65%) with different diagnoses. Identifying patients with chest pain who have acute coronary syndrome (ACS) presents a challenge to ED physicians.

Publisher

Research Square Platform LLC

Reference10 articles.

1. 1. Centers for Disease Control and Prevention, Ambulatory and Hospital Care Statistics Branch. National Hospital Ambulatory Medical Care Survey: 2010 Emergency Department Summary Tables. Available at: http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2010_ed_web_tables. pdf. Accessed November 21, 2017.

2. 2. Owens PL, Barrett ML, Gibson TB, Andrews RM, Weinick RM, Mutter RL. Emergency department care in the United States: a profile of national data sources [published on-line ahead of print Jan 12, 2010]. Ann Emerg Med.

3. 3. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Eng J Med. 2000;342:1163–1170.

4. 4. Christenson J, Innes G, McKnight D, et al. Safety and efficiency of emergency department assessment of chest discomfort. CMAJ. 2004;170(12):1803–1807.

5. 5. Hsia RY, Hale Z, Tabas JA. A national study of the prevalence of life-threatening diagnoses in patients with chest pain. JAMA Intern Med 2016;176:1029–32

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