Determining factors of service priority in the risk classification of patients with chest pain

ABSTRACT Objective: To verify the determining factors of high priority in the risk classification and the outcomes of the care provided to adult patients with chest pain. Method: Retrospective study, conducted at an emergency referral service of a public hospital in the interior of São Paulo Sta...

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Main Authors: Amanda Vitoria Zorzi Segalla, Bruna Pegorer Santos, Denise dos Reis, Silmara Meneguin
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2023-11-01
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472023000100474&lng=en&tlng=en
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author Amanda Vitoria Zorzi Segalla
Bruna Pegorer Santos
Denise dos Reis
Silmara Meneguin
author_facet Amanda Vitoria Zorzi Segalla
Bruna Pegorer Santos
Denise dos Reis
Silmara Meneguin
author_sort Amanda Vitoria Zorzi Segalla
collection DOAJ
description ABSTRACT Objective: To verify the determining factors of high priority in the risk classification and the outcomes of the care provided to adult patients with chest pain. Method: Retrospective study, conducted at an emergency referral service of a public hospital in the interior of São Paulo State, analyzing the records of care performed in the risk classification in 181 medical records of patients with the symptom of chest pain, between August and November 2020. Results: Individuals were most males 98 (54.1%), with moderate pain 133 (73.5), high priority for care 135 (74.5%) and who sought the service spontaneously 139 (76.8%). Of those classified as high priority, 47 (34.8%) were referred to the emergency room and, of these, 27 (17.0%) remained hospitalized. Female gender (p=0.0198; OR=0.40; CI=0.189-0.866) was independently associated with high priority of care. Conclusion: Despite the priority classification, few participants were referred to the emergency room and required hospitalization. Female gender was a protective factor in the risk classification as high priority.
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spelling doaj.art-47480a7558e242b4991d5657164c090a2023-11-14T07:35:40ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472023-11-014410.1590/1983-1447.2023.20220100.enDetermining factors of service priority in the risk classification of patients with chest painAmanda Vitoria Zorzi Segallahttps://orcid.org/0000-0003-0317-6231Bruna Pegorer Santoshttps://orcid.org/0000-0003-3986-7157Denise dos Reishttps://orcid.org/0000-0001-8233-0318Silmara Meneguinhttps://orcid.org/0000-0003-3853-5134ABSTRACT Objective: To verify the determining factors of high priority in the risk classification and the outcomes of the care provided to adult patients with chest pain. Method: Retrospective study, conducted at an emergency referral service of a public hospital in the interior of São Paulo State, analyzing the records of care performed in the risk classification in 181 medical records of patients with the symptom of chest pain, between August and November 2020. Results: Individuals were most males 98 (54.1%), with moderate pain 133 (73.5), high priority for care 135 (74.5%) and who sought the service spontaneously 139 (76.8%). Of those classified as high priority, 47 (34.8%) were referred to the emergency room and, of these, 27 (17.0%) remained hospitalized. Female gender (p=0.0198; OR=0.40; CI=0.189-0.866) was independently associated with high priority of care. Conclusion: Despite the priority classification, few participants were referred to the emergency room and required hospitalization. Female gender was a protective factor in the risk classification as high priority.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472023000100474&lng=en&tlng=enTriageChest painNursing careEmergency medical services
spellingShingle Amanda Vitoria Zorzi Segalla
Bruna Pegorer Santos
Denise dos Reis
Silmara Meneguin
Determining factors of service priority in the risk classification of patients with chest pain
Revista Gaúcha de Enfermagem
Triage
Chest pain
Nursing care
Emergency medical services
title Determining factors of service priority in the risk classification of patients with chest pain
title_full Determining factors of service priority in the risk classification of patients with chest pain
title_fullStr Determining factors of service priority in the risk classification of patients with chest pain
title_full_unstemmed Determining factors of service priority in the risk classification of patients with chest pain
title_short Determining factors of service priority in the risk classification of patients with chest pain
title_sort determining factors of service priority in the risk classification of patients with chest pain
topic Triage
Chest pain
Nursing care
Emergency medical services
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472023000100474&lng=en&tlng=en
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