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

Rudi Bruyninckx, Ann Van den Bruel, Bert Aertgeerts, Viviane Van Casteren, Frank Buntinx
2008 European journal of emergency medicine  
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
more » ... el 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.
doi:10.1097/mej.0b013e328302c840 pmid:19078835 fatcat:4awmq6fpfzc2rf3cdndrn7n5ke