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January 1, 2018Open Access

Do Patients with Chest Pain Benefit from Installing Triage System in Emergency Department?

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Key result

Installing a triage system in the emergency department significantly reduced the mean door-to-ECG time for patients with chest pain from 23.17 minutes to 13.6 minutes (p<0.001).

Why the study?

Does installing a triage system reduce the delivery time of primary care interventions for patients with chest pain in the emergency department?

Population

65 patients with a chief complaint of chest pain referred to the emergency department.

Comparison

Installation of a triage system in the emergency… vs Prior practice of evaluating patients based on…

Design

Cross-sectional, Patients were randomly included from the specified time…

Authors

SSSeyedhossein Seyedhosseini-DavaraniHAHossein Asle-SoleimaniHHHooman Hossein-Nejed

Discussion

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Member takes

Overview

Triage systems may shorten door-to-ECG intervals in ED chest pain; cross-sectional data leave open need for randomized outcome trials.

Study Design

Type

Cross-Sectional (n=65)

Multicenter

No

Structured PICO

Does installing a triage system reduce the delivery time of primary care interventions for patients with chest pain in the emergency department?

P
Population
65 patients with a chief complaint of chest pain presenting to the emergency department, evaluated before and after the implementation of a triage system.
E
Exposure
Installation of a triage system in the emergency department.
C
Comparator
Prior practice of evaluating patients based on arrival time rather than clinical condition (before triage system installation).
O
Outcome
Time between emergency department arrival and beginning of diagnostic and therapeutic interventions (including cardiac monitoring, first physician visit, intravenous line insertion, and electrocardiogram performance).

Main Result

Absolute Event Rate: 13.6% vs 23.17%

p-value: p=<0.001

Implementing a triage system in the emergency department significantly reduces the time to critical initial nursing interventions like ECG, IV insertion, and cardiac monitoring for patients presenting with chest pain.

Limitations

  • Important data regarding patient outcomes related to the primary care given were not collected.
  • Important data regarding patients' clinical outcomes in relation to the primary care given were not collected.

Cite This Study

Seyedhosseini-Davarani et al. (2018) conducted a cross-sectional in Chest pain (n=65). Triage system installation vs. Before triage system installation was evaluated on Door to electrocardiogram performance (minutes) (p=<0.001). Installing a triage system in the emergency department significantly reduced the mean door-to-ECG time for patients with chest pain from 23.17 minutes to 13.6 minutes (p<0.001).

synapsesocial.com/papers/6a22b2e3a58d8b2b280e11e3https://doi.org/10.22114/ajem.v0i0.33
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Triaging Primary Care Patients Referred for Chest Pain to Specialist Cardiology Centres: Efficacy of an Optimised Protocol2018 · 1 citations
  2. 2A Modified Chief Complaint-Based Cardiac Triage Strategy for Reducing Delays in the Management of Patients With ST-Elevation Myocardial Infarction2020
  3. 3A modified chief complaint-based cardiac triage strategy for reducing delays in the management of patients with ST-elevation myocardial infarction2021
  4. 4A modified cardiac triage strategy reduces door to ECG time in patients with ST elevation myocardial infarction2021 · 19 citations
  5. 5The impact of optimizing the triage process for cardiac patients presenting to the cardiac emergency department on quality of care indicators: a quasi-experimental study in Southern Iran2026