Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino

Autores
Grande Ratti, Maria Florencia; Bluro, Ignacio Martín; Castillo, Fiorella; Zapiola, María Elena; Pedretti, Ana Soledad; Martínez, Bernardo
Año de publicación
2023
Idioma
español castellano
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objectives: To report the frequency of precordial pain, describe clinical characteristics, and care times.Methods: . Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.Results: There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).Conclusions: Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.
Fil: Grande Ratti, Maria Florencia. Hospital Italiano. Departamento de Medicina.; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bluro, Ignacio Martín. Hospital Italiano; Argentina
Fil: Castillo, Fiorella. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Zapiola, María Elena. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Pedretti, Ana Soledad. Hospital Italiano; Argentina
Fil: Martínez, Bernardo. Hospital Italiano. Departamento de Medicina.; Argentina
Materia
Cardiology
Chest Pain
Emergencies, Hospital
Patient Care Management
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/259337
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/259337
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentinoGrande Ratti, Maria FlorenciaBluro, Ignacio MartínCastillo, FiorellaZapiola, María ElenaPedretti, Ana SoledadMartínez, BernardoCardiologyChest PainEmergencies, HospitalPatient Care Managementhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objectives: To report the frequency of precordial pain, describe clinical characteristics, and care times.Methods: . Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.Results: There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).Conclusions: Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.Fil: Grande Ratti, Maria Florencia. Hospital Italiano. Departamento de Medicina.; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Bluro, Ignacio Martín. Hospital Italiano; ArgentinaFil: Castillo, Fiorella. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Zapiola, María Elena. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Pedretti, Ana Soledad. Hospital Italiano; ArgentinaFil: Martínez, Bernardo. Hospital Italiano. Departamento de Medicina.; ArgentinaArch Peru Cardiol Cir Cardiovasc2023-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/259337Grande Ratti, Maria Florencia; Bluro, Ignacio Martín; Castillo, Fiorella; Zapiola, María Elena; Pedretti, Ana Soledad; et al.; Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino; Arch Peru Cardiol Cir Cardiovasc; Archivos Peruanos de Cardiología y Cirugía Cardiovascular; 4; 2; 6-2023; 41-472708-7212CONICET DigitalCONICETspainfo:eu-repo/semantics/altIdentifier/url/https://apcyccv.org.pe/index.php/apccc/article/view/293info:eu-repo/semantics/altIdentifier/doi/10.47487/apcyccv.v4i2.293info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-12-23T14:47:40Zoai:ri.conicet.gov.ar:11336/259337instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-12-23 14:47:40.613CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
spellingShingle Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
Grande Ratti, Maria Florencia
Cardiology
Chest Pain
Emergencies, Hospital
Patient Care Management
title_short Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_full Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_fullStr Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_full_unstemmed Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
title_sort Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino
dc.creator.none.fl_str_mv Grande Ratti, Maria Florencia
Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
author Grande Ratti, Maria Florencia
author_facet Grande Ratti, Maria Florencia
Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
author_role author
author2 Bluro, Ignacio Martín
Castillo, Fiorella
Zapiola, María Elena
Pedretti, Ana Soledad
Martínez, Bernardo
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Cardiology
Chest Pain
Emergencies, Hospital
Patient Care Management
topic Cardiology
Chest Pain
Emergencies, Hospital
Patient Care Management
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objectives: To report the frequency of precordial pain, describe clinical characteristics, and care times.Methods: . Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.Results: There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).Conclusions: Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.
Fil: Grande Ratti, Maria Florencia. Hospital Italiano. Departamento de Medicina.; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bluro, Ignacio Martín. Hospital Italiano; Argentina
Fil: Castillo, Fiorella. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Zapiola, María Elena. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Pedretti, Ana Soledad. Hospital Italiano; Argentina
Fil: Martínez, Bernardo. Hospital Italiano. Departamento de Medicina.; Argentina
description Objectives: To report the frequency of precordial pain, describe clinical characteristics, and care times.Methods: . Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.Results: There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).Conclusions: Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.
publishDate 2023
dc.date.none.fl_str_mv 2023-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/259337
Grande Ratti, Maria Florencia; Bluro, Ignacio Martín; Castillo, Fiorella; Zapiola, María Elena; Pedretti, Ana Soledad; et al.; Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino; Arch Peru Cardiol Cir Cardiovasc; Archivos Peruanos de Cardiología y Cirugía Cardiovascular; 4; 2; 6-2023; 41-47
2708-7212
CONICET Digital
CONICET
url http://hdl.handle.net/11336/259337
identifier_str_mv Grande Ratti, Maria Florencia; Bluro, Ignacio Martín; Castillo, Fiorella; Zapiola, María Elena; Pedretti, Ana Soledad; et al.; Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino; Arch Peru Cardiol Cir Cardiovasc; Archivos Peruanos de Cardiología y Cirugía Cardiovascular; 4; 2; 6-2023; 41-47
2708-7212
CONICET Digital
CONICET
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://apcyccv.org.pe/index.php/apccc/article/view/293
info:eu-repo/semantics/altIdentifier/doi/10.47487/apcyccv.v4i2.293
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Arch Peru Cardiol Cir Cardiovasc
publisher.none.fl_str_mv Arch Peru Cardiol Cir Cardiovasc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.952241

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