Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.

BACKGROUND: Patients with an acute coronary syndrome should be referred to hospital urgently to start reperfusion therapy as soon as possible. Owing to the risks of ventricular fibrillation and pulseless ventricular tachycardia, urgent transport should be organized under safe conditions, that is, w...

Full description

Bibliographic Details
Main Authors: Bruyninckx, R, Van den Bruel, A, Aertgeerts, B, Van Casteren, V, Buntinx, F
Format: Journal article
Language:English
Published: 2008
_version_ 1797069944852054016
author Bruyninckx, R
Van den Bruel, A
Aertgeerts, B
Van Casteren, V
Buntinx, F
author_facet Bruyninckx, R
Van den Bruel, A
Aertgeerts, B
Van Casteren, V
Buntinx, F
author_sort Bruyninckx, R
collection OXFORD
description BACKGROUND: Patients with an acute coronary syndrome should be referred to hospital urgently to start reperfusion therapy as soon as possible. Owing to the risks of ventricular fibrillation and pulseless ventricular tachycardia, urgent transport should be organized under safe conditions, that is, with a defibrillator at hand. AIM: To evaluate the type of transport of patients with chest pain referred by their general practitioner (GP). DESIGN OF STUDY: Observational study. SETTING: A sentinel network of general practices in Belgium, covering almost 1.6% of the total population. PATIENTS: One thousand nine hundred and ninety-six patients with chest pain attending their GP in 2003. METHOD: Descriptive analyses reporting proportions along with their 95% confidence interval (CI). RESULTS: Male patients were referred to hospital more often than female patients: 44.9% (95% CI: 41.6-47.8) versus 36.5% (95% CI: 33.4-39.6). For patients who were referred routinely, 92.7% (95% CI: 89.1-95.2) were transported by family and neighbours, 4.8% (95% CI: 2.8-7.9) by ambulance and 2.5% (95% CI: 1.2-5.1) by GPs. For patients who were referred urgently, ambulances transported 56.9% (95% CI: 51.1-62.7), family and neighbours 36.9% (95% CI: 31.4-42.7) and the GP 6.1% (95% CI: 3.7-9.5). CONCLUSION: Almost half of the patients with chest pain who require urgent referral are transported in unsafe conditions.
first_indexed 2024-03-06T22:31:53Z
format Journal article
id oxford-uuid:588dde8f-fea3-41e5-8bc8-640479ecef93
institution University of Oxford
language English
last_indexed 2024-03-06T22:31:53Z
publishDate 2008
record_format dspace
spelling oxford-uuid:588dde8f-fea3-41e5-8bc8-640479ecef932022-03-26T17:04:10ZHalf of the patients with chest pain that are urgently referred are transported in unsafe conditions.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:588dde8f-fea3-41e5-8bc8-640479ecef93EnglishSymplectic Elements at Oxford2008Bruyninckx, RVan den Bruel, AAertgeerts, BVan Casteren, VBuntinx, F BACKGROUND: Patients with an acute coronary syndrome should be referred to hospital urgently to start reperfusion therapy as soon as possible. Owing to the risks of ventricular fibrillation and pulseless ventricular tachycardia, urgent transport should be organized under safe conditions, that is, with a defibrillator at hand. AIM: To evaluate the type of transport of patients with chest pain referred by their general practitioner (GP). DESIGN OF STUDY: Observational study. SETTING: A sentinel network of general practices in Belgium, covering almost 1.6% of the total population. PATIENTS: One thousand nine hundred and ninety-six patients with chest pain attending their GP in 2003. METHOD: Descriptive analyses reporting proportions along with their 95% confidence interval (CI). RESULTS: Male patients were referred to hospital more often than female patients: 44.9% (95% CI: 41.6-47.8) versus 36.5% (95% CI: 33.4-39.6). For patients who were referred routinely, 92.7% (95% CI: 89.1-95.2) were transported by family and neighbours, 4.8% (95% CI: 2.8-7.9) by ambulance and 2.5% (95% CI: 1.2-5.1) by GPs. For patients who were referred urgently, ambulances transported 56.9% (95% CI: 51.1-62.7), family and neighbours 36.9% (95% CI: 31.4-42.7) and the GP 6.1% (95% CI: 3.7-9.5). CONCLUSION: Almost half of the patients with chest pain who require urgent referral are transported in unsafe conditions.
spellingShingle Bruyninckx, R
Van den Bruel, A
Aertgeerts, B
Van Casteren, V
Buntinx, F
Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title_full Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title_fullStr Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title_full_unstemmed Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title_short Half of the patients with chest pain that are urgently referred are transported in unsafe conditions.
title_sort half of the patients with chest pain that are urgently referred are transported in unsafe conditions
work_keys_str_mv AT bruyninckxr halfofthepatientswithchestpainthatareurgentlyreferredaretransportedinunsafeconditions
AT vandenbruela halfofthepatientswithchestpainthatareurgentlyreferredaretransportedinunsafeconditions
AT aertgeertsb halfofthepatientswithchestpainthatareurgentlyreferredaretransportedinunsafeconditions
AT vancasterenv halfofthepatientswithchestpainthatareurgentlyreferredaretransportedinunsafeconditions
AT buntinxf halfofthepatientswithchestpainthatareurgentlyreferredaretransportedinunsafeconditions