Patiënten met acute pijn op de borst worden in de helft van de gevallen niet veilig vervoerd

Bruyninckx R, Van den BA, Aertgeerts B, Van C, V, Buntinx F. Half of the patients with chest pain that are urgently referred are transported in unsafe conditions. Eur J Emerg Med 2008 Dec;15(6):330-3.

ACHTERGROND: Patiënten met een acuut coronair syndroom moeten snel worden verwezen naar het ziekenhuis om zo snel mogelijk te starten met reperfusie therapie. Vanwege het risico van ventriculaire fibrillatie en pulseless ventriculaire tachycardie, moet het vervoer onder veilige omstandigheden worden georganiseerd, dat wil zeggen met een defibrillator bij de hand. Doel: evaluatie van de aard van het vervoer van patiënten met pijn op de borst die verwezen zijn door hun huisarts

BACKGROUND: 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 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

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