Mattias Ohlsson
Professor
Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation
Författare
Summary, in English
Background: There is a circadian and circaseptal (weekly) variation in the onset of acute coronary syndrome (ACS). The aim of this study was to elucidate whether the likelihood of ACS among emergency department (ED) chest pain patients varies with the time of presentation.
Methods: All patients presenting to the Lund ED at Skåne University Hospital with chest pain or discomfort during 2006 and 2007 were retrospectively included. Age, sex, arrival time at the ED and discharge diagnose (ACS or not) were obtained from the electronic medical records.
Results: There was a clear but moderate circadian variation in the likelihood of ACS among presenting chest pain patients, the likelihood between 8 and 10 am being almost twice as high as between 6 and 8 pm. This was mainly explained by a variation in the ACS likelihood in females and patients under 65 years, with no significant variation in males and patients over 65 years. There was no significant circaseptal variation in the ACS likelihood.
Conclusions: Our results indicate that there is a circadian variation in the likelihood of ACS among ED chest pain patients, and suggest that physicians should consider the time of presentation to the ED when determining the likelihood of ACS.
Methods: All patients presenting to the Lund ED at Skåne University Hospital with chest pain or discomfort during 2006 and 2007 were retrospectively included. Age, sex, arrival time at the ED and discharge diagnose (ACS or not) were obtained from the electronic medical records.
Results: There was a clear but moderate circadian variation in the likelihood of ACS among presenting chest pain patients, the likelihood between 8 and 10 am being almost twice as high as between 6 and 8 pm. This was mainly explained by a variation in the ACS likelihood in females and patients under 65 years, with no significant variation in males and patients over 65 years. There was no significant circaseptal variation in the ACS likelihood.
Conclusions: Our results indicate that there is a circadian variation in the likelihood of ACS among ED chest pain patients, and suggest that physicians should consider the time of presentation to the ED when determining the likelihood of ACS.
Avdelning/ar
- Medicin/akutsjukvård, Lund
- Medicinska fakulteten
- Institutionen för astronomi och teoretisk fysik - Genomgår omorganisation
- EpiHealth: Epidemiology for Health
Publiceringsår
2012
Språk
Engelska
Publikation/Tidskrift/Serie
BMC Research Notes
Volym
5
Issue
420
Fulltext
- Available as PDF - 415 kB
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Dokumenttyp
Artikel i tidskrift
Förlag
BioMed Central (BMC)
Ämne
- Other Clinical Medicine
- Physiology
- Cardiac and Cardiovascular Systems
Nyckelord
- Acute Coronary Syndrome
- Chest pain
- Sex differences
- Akut Koronart Syndrom
- AKS
- Bröstsmärta
- Könsskillnader
Status
Published
Projekt
- AIR Lund Chest pain - More efficient and equal emergency care with advanced medical decision support tools
ISBN/ISSN/Övrigt
- ISSN: 1756-0500