Unidad de dolor torácico: primera experiencia en Chile
Background: In large series, nearly 60% of admissions for suspected acute coronary syndrome (ACS) had a non-coronary etiology of the pain. However, short term mortality of non recognized ACS patients, mistakenly discharged from the emergency room is at least twice greater than the expected if they w...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2007
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| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700003 |
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oai:scielo:S0034-988720070007000032007-09-06Unidad de dolor torácico: primera experiencia en ChileCastro,PabloCorbalán,RamónIsa,RodrigoGabrielli,LuigiPérez,OsvaldoChamorro,GastónGarayar,BernarditaBaeza,RicardoVergara,IsmaelGodoy,IvánAcevedo,MónicaFajuri,AlejandroFernández,MarceloMardones,José MiguelBittner,AlexRodríguez,José Antonio Bronchogenic cyst Pancreatic neoplasms Retroperitoneal neoplasms Background: In large series, nearly 60% of admissions for suspected acute coronary syndrome (ACS) had a non-coronary etiology of the pain. However, short term mortality of non recognized ACS patients, mistakenly discharged from the emergency room is at least twice greater than the expected if they would had been admitted. The concept of a chest pain unit (CPU) is a methodological approach developed to address these issues. Aim: To evaluate the efficacy of a CPU in the emergency room of a general hospital for evaluation of acute chest pain. Material and Methods: Prospective study of patients with chest pain admitted in the CPU. After a clinical, electrocardiographic and laboratory evaluation with cardiac injury serum markers, patients were stratified in three risk groups, based on the likelihood of ACS of the American Heart Association. High probability patients were admitted to the Coronary Unit (CU) for treatment. Moderate probability patients remained in the CPU for further evaluation and low probability patients were discharged with telephonic follow-up. Results: Of 407 patients, 35, 30 and 35% were stratified as high, intermediate and low probability ACS, respectively. Among patients admitted with high probability, 73% had a confirmed ACS diagnosis. Among intermediate probability patients, 86% were discharged after an evaluation in the CPU without adverse events in the follow-up. Conclusion: Structured risk evaluation approach in a CPU improves the management of acute chest pain, identifying high probability patients for fast admission and start of treatment in a CU and allowing safe discharge of low probability onesinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.7 20072007-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700003es10.4067/S0034-98872007000700003 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Bronchogenic cyst Pancreatic neoplasms Retroperitoneal neoplasms |
| spellingShingle |
Bronchogenic cyst Pancreatic neoplasms Retroperitoneal neoplasms Castro,Pablo Corbalán,Ramón Isa,Rodrigo Gabrielli,Luigi Pérez,Osvaldo Chamorro,Gastón Garayar,Bernardita Baeza,Ricardo Vergara,Ismael Godoy,Iván Acevedo,Mónica Fajuri,Alejandro Fernández,Marcelo Mardones,José Miguel Bittner,Alex Rodríguez,José Antonio Unidad de dolor torácico: primera experiencia en Chile |
| description |
Background: In large series, nearly 60% of admissions for suspected acute coronary syndrome (ACS) had a non-coronary etiology of the pain. However, short term mortality of non recognized ACS patients, mistakenly discharged from the emergency room is at least twice greater than the expected if they would had been admitted. The concept of a chest pain unit (CPU) is a methodological approach developed to address these issues. Aim: To evaluate the efficacy of a CPU in the emergency room of a general hospital for evaluation of acute chest pain. Material and Methods: Prospective study of patients with chest pain admitted in the CPU. After a clinical, electrocardiographic and laboratory evaluation with cardiac injury serum markers, patients were stratified in three risk groups, based on the likelihood of ACS of the American Heart Association. High probability patients were admitted to the Coronary Unit (CU) for treatment. Moderate probability patients remained in the CPU for further evaluation and low probability patients were discharged with telephonic follow-up. Results: Of 407 patients, 35, 30 and 35% were stratified as high, intermediate and low probability ACS, respectively. Among patients admitted with high probability, 73% had a confirmed ACS diagnosis. Among intermediate probability patients, 86% were discharged after an evaluation in the CPU without adverse events in the follow-up. Conclusion: Structured risk evaluation approach in a CPU improves the management of acute chest pain, identifying high probability patients for fast admission and start of treatment in a CU and allowing safe discharge of low probability ones |
| author |
Castro,Pablo Corbalán,Ramón Isa,Rodrigo Gabrielli,Luigi Pérez,Osvaldo Chamorro,Gastón Garayar,Bernardita Baeza,Ricardo Vergara,Ismael Godoy,Iván Acevedo,Mónica Fajuri,Alejandro Fernández,Marcelo Mardones,José Miguel Bittner,Alex Rodríguez,José Antonio |
| author_facet |
Castro,Pablo Corbalán,Ramón Isa,Rodrigo Gabrielli,Luigi Pérez,Osvaldo Chamorro,Gastón Garayar,Bernardita Baeza,Ricardo Vergara,Ismael Godoy,Iván Acevedo,Mónica Fajuri,Alejandro Fernández,Marcelo Mardones,José Miguel Bittner,Alex Rodríguez,José Antonio |
| author_sort |
Castro,Pablo |
| title |
Unidad de dolor torácico: primera experiencia en Chile |
| title_short |
Unidad de dolor torácico: primera experiencia en Chile |
| title_full |
Unidad de dolor torácico: primera experiencia en Chile |
| title_fullStr |
Unidad de dolor torácico: primera experiencia en Chile |
| title_full_unstemmed |
Unidad de dolor torácico: primera experiencia en Chile |
| title_sort |
unidad de dolor torácico: primera experiencia en chile |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2007 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700003 |
| work_keys_str_mv |
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