[阿根廷中心急诊科胸痛病房的临床特征和护理时间]。

María Florencia Grande Ratti, Ignacio Martín Bluro, Fiorella Castillo, María Elena Zapiola, Ana Soledad Pedretti, Bernardo Martínez
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引用次数: 0

摘要

目标:。报告心前区疼痛的频率,描述临床特征和护理时间。方法:。回顾性描述性研究,包括2021年在阿根廷一家私立医院急诊科胸痛科的会诊。结果:1469例因胸痛入院,发生率为1.09%(95%CI 1.04-1.15),其中52%为男性,平均年龄62岁(SD±15);48%患有高血压,32%患有血脂异常。初始心电图的中位时间为4.3分钟(ICR 2.5-7.5);26分钟(ICR 14-46)进行医学评估。共有206人(14%)住院,中位数为3天,76%的人入住封闭式病房,9%的患者需要无创通气/机械通气,住院死亡率为2.9%。住院患者延迟就医的时间较短(P结论:护理时间在规定的标准范围内,是质量的一个重要指标。护理至关重要,要注意正确的分诊、入院时的心电图,并保证护理直到医疗评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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[Clinical characteristics and care times in a chest pain unit of the emergency department of an argentine center].

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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