Evaluation of The Patients Discharged from Emergency Department with Non-specific Chest Pain

We are in the opinion that this group of patients should be further examined in outpatient clinics at the proper time after the discharge from the emergency department.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to evaluate 6-month fate of the patients who were discharged from the emergency department with the diagnosis of non-specific chest pain.

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Key Findings & Data:Materials and Methods: Forty patients aged 18 and over admitted to medical faculty hospital, emergency department with the complaint of chest pain and discharged with the diagnosis of non-specific chest pain were included in the study.

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Conclusion & Impact:We are in the opinion that this group of patients should be further examined in outpatient clinics at the proper time after the discharge from the emergency department.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Non-specific chest pain · emergency department · discharged

Abstract

Objective: The aim of this study is to evaluate 6-month fate of the patients who were discharged from the emergency department with the diagnosis of non-specific chest pain. Materials and Methods: Forty patients aged 18 and over admitted to medical faculty hospital, emergency department with the complaint of chest pain and discharged with the diagnosis of non-specific chest pain were included in the study. The patients were followed up via university and state hospital database for 6 months. The patients were also interviewed via telephone calls. Results: The mean age of the patients was 54.1±17.3 years. Of the patients, 22 (55%) were male and 18 (45%) were female. Of the patients, 11 were diagnosed with non-specific chest pain, 1 (2.5%) panic attack and 3 (7.5%) coronary artery disease after the angiography. In six-month follow-up, 1 patient (2.5%) died at Aydın Atatürk State Hospital due to cardiac arrest. Conclusion: The management of patients with chest pain is a common and challenging clinical problem in the emergency department. With the early diagnosis and treatment after a careful evaluation, life-threatening diseases can be prevented and health care costs can be reduced. We are in the opinion that this group of patients should be further examined in outpatient clinics at the proper time after the discharge from the emergency department.

Keywords

Non-specific chest pain emergency department discharged

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Cite This Article

Duman, A., Aköz, A., Dağlı, B., Kapçı, M., Gürbilek, Ü., Türkdoğan, K. A. (2017). Evaluation of The Patients Discharged from Emergency Department with Non-specific Chest Pain. Meandros Medical And Dental Journal, Volume: 18 Issue: 3. https://doi.org/10.4274/meandros.2997

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References (9)

Lai C, Noeller TP, Schmidt K, King P, Emerman CL. Short-term risk after initial observation for chest pain. J Emerg Med 2003; 25: 357-62.
Demiryoğuran NS, Topaçoğlu H, Karcıoğlu Ö. Nonspesifik Göğüs Ağrılı Hastalarda Anksiyete Bozukluğu. DEÜ Tıp Fakültesi Derg 2005; 19: 127-32.
Seo TH, Kim JH, Lee JH, Ko SY, Hong SN, Sung IK, et al. Clinical distinct features of noncardiac chest pain in young patients. J Neurogastroenterol Motil 2010; 16: 166-71.
Koukkunen H, Pyrala K, O Halinen M. Low-risk patients with chest pain and without evidence of myocardial infarction may be safely discharged from emergency department. Eur Heart J 2004; 25: 329-34.
Leite L, Baptista R, Leitão J, Cochicho J, Breda F, Elvas L, et al. Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score. BMC Cardiovascular Disord 2015; 15: 48.
Yazkan R, Han S. Multidisciplinary Evaluation of Noncardiac Chest Pain. J Clin Anal Med 2012; 3: 296-9.
Coşkun SÖ, Parlak İ, Değerli V, Elçin G, Denizliğioğlu B, Yıldırım E, et al. Evaluating The Acute Coronary Syndrome Rates of The Patients Who Apply To Emergency Service With Chest Pain. Medical Journal of İzmir Hospital 2015; 19: 84-94.
Kirk JD, Turnipseed S, Lewis WR, Amsterdam EA. Evaluation of chest pain in low-risk patients presenting to the emergency depart-ment: the role of immediate exercise testing. Ann Emerg Med 1998; 32: 1-7.
Polanczyk CA, Johnson PA, Hartley LH, Walls RM, Shaykevich S, Lee TH. Clinical correlates and prognostic significance of early negative exercise tolerance in patients with acute chest pain seen in the hospital emergency department. Am J Cardiol 1998; 81: 288-92.