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Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino

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...

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Autores principales: Grande Ratti, María Florencia, Bluro, Ignacio Martín, Castillo, Fiorella, Zapiola, María Elena, Pedretti, Ana Soledad, Martínez, Bernardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Nacional Cardiovascular - INCOR 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538921/
https://www.ncbi.nlm.nih.gov/pubmed/37780952
http://dx.doi.org/10.47487/apcyccv.v4i2.293
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author Grande Ratti, María Florencia
Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
author_facet Grande Ratti, María Florencia
Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
author_sort Grande Ratti, María Florencia
collection PubMed
description 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.
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spelling pubmed-105389212023-09-29 Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino Grande Ratti, María Florencia Bluro, Ignacio Martín Castillo, Fiorella Zapiola, María Elena Pedretti, Ana Soledad Martínez, Bernardo Arch Peru Cardiol Cir Cardiovasc Artículo Original 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. Instituto Nacional Cardiovascular - INCOR 2023-06-30 /pmc/articles/PMC10538921/ /pubmed/37780952 http://dx.doi.org/10.47487/apcyccv.v4i2.293 Text en https://creativecommons.org/licenses/by/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
spellingShingle Artículo Original
Grande Ratti, María Florencia
Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_full Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_fullStr Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_full_unstemmed Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_short Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_sort características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
topic Artículo Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538921/
https://www.ncbi.nlm.nih.gov/pubmed/37780952
http://dx.doi.org/10.47487/apcyccv.v4i2.293
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