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Re-admission among patients with acute chest pain who were discharged from emergency department
[external].
1996 (English)In: European journal of emergency medicine, ISSN 0969-9546, E-ISSN 1473-5695, Vol. 33, no 1, p. 199-205Article in journal (Refereed) Published
Abstract [en]

This paper describes the rate of re-admission and the characteristics of patients who were re-admitted after having been discharged directly from the emergency department at Sahlgrenska Hospital when they presented with acute chest pain or other symptoms suggestive of acute myocardial infarction. A total of 1463 patients were admitted and directly discharged during the 15 month recruitment period, of whom 222 (15%) were re-admitted at least once and 72 (5%) were re-admitted more than once during the subsequent 6 to 21 months. However, among patients not being re-admitted, 63% reported recurrency of symptoms one year after discharge. Re-admitted patients differed from those who were not re-admitted by: being older (p < 0.001); they more frequently had a history of cardiovascular diseases (p < 0.001); they more frequently had a pathological electrocardiogram (p < 0.001); and they were more frequently judged to have angina pectoris (p < 0.001). Among re-admitted patients, about half were hospitalized but only 10% developed AMI. In conclusion, among patients who were discharged directly from the emergency department with acute chest pain, 15% were re-admitted with similar symptoms only. A minority, however, developed acute myocardial infarction. A high proportion of patients not being re-admitted had recurrency of symptoms.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, Ltd. , 1996. Vol. 33, no 1, p. 199-205
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7811Local ID: 2320/8788OAI: oai:DiVA.org:hb-7811DiVA, id: diva2:888693
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-26Bibliographically approved

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