Serveur d'exploration autour du libre accès en Belgique

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How do patients with chest pain access Emergency Department care?

Identifieur interne : 000011 ( PubMed/Checkpoint ); précédent : 000010; suivant : 000012

How do patients with chest pain access Emergency Department care?

Auteurs : Evie Van Severen [Pays-Bas] ; Robert Willemsen ; Pieter Vandervoort ; Marc Sabbe ; Geert-Jan Dinant ; Frank Buntinx

Source :

RBID : pubmed:27043771

Abstract

It is important that patients with symptoms of acute coronary syndrome receive appropriate medical care as soon as possible. Little is known about the preadmission actions that patients with chest pain take before arrival at the Emergency Department (ED).

DOI: 10.1097/MEJ.0000000000000393
PubMed: 27043771


Affiliations:


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pubmed:27043771

Le document en format XML

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<title xml:lang="en">How do patients with chest pain access Emergency Department care?</title>
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<name sortKey="Van Severen, Evie" sort="Van Severen, Evie" uniqKey="Van Severen E" first="Evie" last="Van Severen">Evie Van Severen</name>
<affiliation wicri:level="1">
<nlm:affiliation>aDepartment General Practice, KU Leuven bDepartment of Emergency Medicine, University Hospitals Leuven, Leuven cDepartment of Cardiology, Chest Pain Unit, Hospital ZOL Genk, Lanaken, Belgium dDepartment of Family Medicine, University of Maastricht, Maastricht, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>aDepartment General Practice, KU Leuven bDepartment of Emergency Medicine, University Hospitals Leuven, Leuven cDepartment of Cardiology, Chest Pain Unit, Hospital ZOL Genk, Lanaken, Belgium dDepartment of Family Medicine, University of Maastricht, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
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<name sortKey="Willemsen, Robert" sort="Willemsen, Robert" uniqKey="Willemsen R" first="Robert" last="Willemsen">Robert Willemsen</name>
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<name sortKey="Vandervoort, Pieter" sort="Vandervoort, Pieter" uniqKey="Vandervoort P" first="Pieter" last="Vandervoort">Pieter Vandervoort</name>
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<name sortKey="Sabbe, Marc" sort="Sabbe, Marc" uniqKey="Sabbe M" first="Marc" last="Sabbe">Marc Sabbe</name>
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<name sortKey="Dinant, Geert Jan" sort="Dinant, Geert Jan" uniqKey="Dinant G" first="Geert-Jan" last="Dinant">Geert-Jan Dinant</name>
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<name sortKey="Buntinx, Frank" sort="Buntinx, Frank" uniqKey="Buntinx F" first="Frank" last="Buntinx">Frank Buntinx</name>
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<nlm:affiliation>aDepartment General Practice, KU Leuven bDepartment of Emergency Medicine, University Hospitals Leuven, Leuven cDepartment of Cardiology, Chest Pain Unit, Hospital ZOL Genk, Lanaken, Belgium dDepartment of Family Medicine, University of Maastricht, Maastricht, The Netherlands.</nlm:affiliation>
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<wicri:regionArea>aDepartment General Practice, KU Leuven bDepartment of Emergency Medicine, University Hospitals Leuven, Leuven cDepartment of Cardiology, Chest Pain Unit, Hospital ZOL Genk, Lanaken, Belgium dDepartment of Family Medicine, University of Maastricht, Maastricht</wicri:regionArea>
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<name sortKey="Sabbe, Marc" sort="Sabbe, Marc" uniqKey="Sabbe M" first="Marc" last="Sabbe">Marc Sabbe</name>
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<name sortKey="Dinant, Geert Jan" sort="Dinant, Geert Jan" uniqKey="Dinant G" first="Geert-Jan" last="Dinant">Geert-Jan Dinant</name>
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<name sortKey="Buntinx, Frank" sort="Buntinx, Frank" uniqKey="Buntinx F" first="Frank" last="Buntinx">Frank Buntinx</name>
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<title level="j">European journal of emergency medicine : official journal of the European Society for Emergency Medicine</title>
<idno type="eISSN">1473-5695</idno>
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<div type="abstract" xml:lang="en">It is important that patients with symptoms of acute coronary syndrome receive appropriate medical care as soon as possible. Little is known about the preadmission actions that patients with chest pain take before arrival at the Emergency Department (ED).</div>
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<Year>2016</Year>
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<Title>European journal of emergency medicine : official journal of the European Society for Emergency Medicine</Title>
<ISOAbbreviation>Eur J Emerg Med</ISOAbbreviation>
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<ArticleTitle>How do patients with chest pain access Emergency Department care?</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It is important that patients with symptoms of acute coronary syndrome receive appropriate medical care as soon as possible. Little is known about the preadmission actions that patients with chest pain take before arrival at the Emergency Department (ED).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study aimed to describe the actions of patients with chest pain or pressure after onset of symptoms. What is the first action following onset of symptoms? Who is the first lay or professional person to be contacted? Which steps are taken first? How is the patient transported to the hospital?</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Consecutive patients, arriving at the ED of two large hospitals in Belgium, were asked additional questions during the initial assessment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 35% of 412 consecutive patients with chest pain admitted to the ED were diagnosed with acute coronary syndrome. A total of 57% contacted a GP between symptom onset and arrival at the ED. Only 32% of the patients were transported to the ED by ambulance, 16% drove themselves and 52% arrived by other means of transport (by family, neighbour, GP, public transport).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In Belgium, the GP is still the first professional to be contacted for most patients. Other patients initially rely on their partner, family or friends when symptoms emerge. Too often, patients with chest pain rely on other transport to get to the ED instead of calling the Emergency Medical Services. This study included only patients who ultimately attended the ED.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0/.</AbstractText>
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