Key result
Anxiety levels in patients with chest pain did not correlate with disease severity, as STAI scores were higher in patients discharged from the ED than in those hospitalized.
Cross-Sectional (n=208)
Anxiety levels in ED patients with chest pain do not correlate with disease severity, with higher anxiety seen in those discharged or not requiring coronary intervention.
Anxiety should not guide severity triage or admission in ED chest pain; cross-sectional data leaves open causal links and needs prospective validation.
INTRODUCTION: We aimed to investigate the demographical features, anxiety levels and clinical findings of the patients admitted to our Emergency department (ED) due to chest pain. METHODS: Patients with chest pain older than 18 years were included into the study. Demographical features such as age, sex and education level, initial diagnosis in the ED, whether they were hospitalized or coronary intervention performed, were recorded. To determine the anxiety levels of the patients, State-trait Anxiety Inventory (STAI) was performed. RESULTS: Two-hundred and eight adult patients with chest pain were included into the study. We could not determine a relationship between STAI levels of patients according to demographical findings, however, STAI scores tended to decrease by age. Considering the education levels of the patients, it was determined that STAI scores of university graduates were higher than others. The STAI scores of patients discharged from the ED were higher than those hospitalized. When patients were compared according to whether coronary intervention (CI) was performed or not, it was determined that patients who did not require CI had higher STAI scores. When coronary lesion localization of the patients hospitalized was investigated, any relationship could not be determined. CONCLUSION: In this study, we determined that anxiety levels of the patients with chest pain do not correlate with the severity of the disease. Higher anxiety levels of patients discharged from ED when compared to those with ACS is a challenging problem for both ED physicians and cardiologists.
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Başara et al. (2015) conducted a cross-sectional in Chest pain (n=208). Discharge from ED / No coronary intervention vs. Hospitalization / Coronary intervention was evaluated on State-trait Anxiety Inventory (STAI) scores. Anxiety levels in patients with chest pain did not correlate with disease severity, as STAI scores were higher in patients discharged from the ED than in those hospitalized.
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