Características clínicas y tiempos de atención en una unidad de dolor torácico del servicio de emergencias de un centro argentino

María Florencia Grande Ratti; Ignacio Martín Bluro; Fiorella Castillo; María Elena Zapiola; Ana Soledad Pedretti; Bernardo Martínez

doi:10.47487/apcyccv.v4i2.293

Authors

María Florencia Grande Ratti Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Área de Investigación en Medicina Interna, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; CONICET (Consejo Nacional de Investigaciones Científicas y Técnicas), Departamento de Medicina, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Central de Emergencias de Adultos, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. https://orcid.org/0000-0001-8622-8230
Ignacio Martín Bluro Central de Emergencias de Adultos, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Servicio de Cardiología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. https://orcid.org/0000-0003-1833-6090
Fiorella Castillo Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. https://orcid.org/0000-0003-1833-6090
María Elena Zapiola Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Ana Soledad Pedretti Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Central de Emergencias de Adultos, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina..
Bernardo Martínez Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Central de Emergencias de Adultos, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. https://orcid.org/0000-0002-0270-6520

DOI:

https://doi.org/10.47487/apcyccv.v4i2.293

Keywords:

Emergencies, Hospital, Nursing Care, Patient Care Management, Chest Pain, Cardiology

Abstract

Objectives. To report the frequency of precordial pain, describe clinical characteristics, and care times. Methods. Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina. Results. There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22). Conclusions. Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.

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