What is the clinical evidence from this study?

Study design: Observational. Population: Acute chest pain (n=1104). Intervention: Acute chest pain (red response triage). Primary outcome: Rate of chest pain cases reported to EMCCs per 1000 inhabitants per year (95% CI 5.3-5.6).

July 21, 2011BMC Emergency MedicineOpen Access

Acute chest pain - A prospective population based study of contacts to Norwegian emergency medical communication centres

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Key result

Acute chest pain triaged as a red response occurred at a rate of 5.4 cases per 1000 inhabitants per year, with 76% of patients admitted to a hospital despite only 26% having a life-threatening condition.

Population

1,104 patients with acute chest pain triaged as a red response at three Norwegian emergency medical…

Design

Cohort

Authors

RBRobert A. BurmanUniversity of Bern EZErik ZakariassenStiftelsen Norsk Luftambulanse SHSteinar HunskaarNORCE Research AS

Discussion

Member takes

Implication

Suggests prehospital over-triage of chest pain; leaves open refined criteria to reduce unnecessary admissions.

Study Design

Type

Observational (n=1,104)

Multicenter

Yes

Structured PICO

Population

1,104 patients with acute chest pain triaged as a red response at Norwegian emergency medical communication centres over a three-month period.

Outcome

Epidemiology, severity of illness (NACA score), prehospital response time, and admission rates of patients with acute chest pain

The majority of patients with acute chest pain triaged as highest priority were admitted to the hospital, but only a quarter were assessed prehospitally to have a severe illness, highlighting challenges in emergency triage.

Limitations

NACA-scores were assessed retrospectively based on medical records, which might give a lower accuracy when registering the severity of the illness.
Undertriaged patients (e.g., those assigned a yellow response) were not included in the study.
Lack of on-going clinical evaluation by physicians on-site and final hospital diagnoses.
NACA-scores in most cases were assessed retrospectively based on medical records
Undertriaged patients (yellow response) were not included
Little is known about the validity of the Norwegian Index of Medical Emergencies and how it is used in different EMCCs

Cite This Study

Burman et al. (2011) conducted an observational in Acute chest pain (n=1,104). Acute chest pain (red response triage) was evaluated on Rate of chest pain cases reported to EMCCs per 1000 inhabitants per year (95% CI 5.3-5.6). Acute chest pain triaged as a red response occurred at a rate of 5.4 cases per 1000 inhabitants per year, with 76% of patients admitted to a hospital despite only 26% having a life-threatening condition.

synapsesocial.com/papers/6a7c95291c02bd024a6ee171 https://doi.org/10.1186/1471-227x-11-9

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Acute chest pain - A prospective population based study of contacts to Norwegian emergency medical communication centres

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Acute chest pain - A prospective population based study of contacts to Norwegian emergency medical communication centres

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider