Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

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.

Original publication

DOI

10.1097/MEJ.0b013e328302c840

Type

Journal article

Journal

Eur J Emerg Med

Publication Date

12/2008

Volume

15

Pages

330 - 333

Keywords

Ambulances, Angina Pectoris, Belgium, Chest Pain, Confidence Intervals, Emergency Medical Services, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Patient Transfer, Physicians, Family, Referral and Consultation, Risk Factors, Safety, Time Factors