Retrospective observational study of patients who present to Australian rural emergency departments with undifferentiated chest pain

Roche, Tina, Gardner, Glenn, & Lewis, Peter (2014) Retrospective observational study of patients who present to Australian rural emergency departments with undifferentiated chest pain. Australian Journal of Rural Health, 22(5), pp. 229-234.

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Abstract

Aim

To identify the demographic and clinical characteristics of patients who present to Australian rural emergency departments with chest pain.

Design

Retrospective, observational study

Setting

Rural emergency departments (ED) in Queensland, Australia

Participants

337 consecutive adult patients with undifferentiated chest pain that presented between 1st September 2013 and 30th November 2013.

Main outcome measures

Service indicators, discharge diagnoses and disposition

Results

Presentations for undifferentiated chest pain represented 3.5% of all patient presentations during the sampling period. The mean age of patients was 48 years and 54% were male. Overall, 92% of patients left the ED within the 4-hour NEAT target. The majority of presentations were related to cardiac concerns (39%), followed by non-cardiac chest pain (17%), musculoskeletal (15%) and respiratory (10%) conditions. More than half of these patients were discharged at the completion of the ED service (52.8%), 40.6% were admitted, 3.3% left at own risk, 2.4% did not wait and less than 1% of patients required transfer to another hospital directly from the ED.

Conclusions

This study has provided information on the characteristics and processes of care for patients presenting to Australian rural EDs with undifferentiated chest pain that will inform service planning and further research to evaluate the effectiveness of care for these patients.

Impact and interest:

2 citations in Scopus
2 citations in Web of Science®
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ID Code: 77688
Item Type: Journal Article
Refereed: Yes
Keywords: rural health services, emergency treatment, demographics, quality of care, clinical characteristics
DOI: 10.1111/ajr.12134
ISSN: 1038-5282
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 John Wiley & Sons Inc
Deposited On: 15 Oct 2014 23:19
Last Modified: 16 Oct 2014 20:59

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