原创力文档acute chest pain - a prospective population based study of contacts to norwegian emergency medical communication centres急性胸痛u2014u2014未来的人口为基础的研究联系挪威紧急医疗中心的沟通.pdfVIP
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acute chest pain - a prospective population based study of contacts to norwegian emergency medical communication centres急性胸痛u2014u2014未来的人口为基础的研究联系挪威紧急医疗中心的沟通
Burman et al. BMC Emergency Medicine 2011, 11:9
/1471-227X/11/9
RESEARCH ARTICLE Open Access
Acute chest pain - A prospective population
based study of contacts to Norwegian emergency
medical communication centres
Robert Anders Burman1,2*, Erik Zakariassen1,2,3 and Steinar Hunskaar1,2
Abstract
Background: Acute chest pain is a frequently occurring symptom in patients with medical emergencies and
imposes potentially life threatening situations outside hospitals. Little is known about the epidemiology of patients
with acute chest pain in a primary care setting in Norway, and we aimed to obtain more representative data on
such patients using data from emergency medical communication centres (EMCCs).
Methods: Data were collected prospectively during three months in 2007 from three EMCCs, covering 816 000
inhabitants. The EMCCs gathered information on every situation that was triaged as a red response (defined as an
“acute” response, with the highest priority), according to the Norwegian Index of Medical Emergencies. Records
from ambulances and primary care doctors were subsequently collected. International Classification of Primary Care
- 2 symptom codes and The National Committee on Aeronautics (NACA) System scores were assigned
retrospectively. Only chest pain patients were included in the study.
Results: 5 180 patients were involved in red response situations, of which 21% had chest pain. Estimated rate was
5.4 chest pain cases per 1000 inhabitants per year. NACA-scores indicated that 26% of the patients were in a life-
threatening medical situation. Median prehospital response time was 13 minutes; an ambulance reached the
patient in less than 10 minutes in 30% of the cases. Seventy-six per cent of the patients with chest pain were
admitted to a hospital for further investigation, 14% received final treatment at
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