View : 348 Download: 58
Higher Frequency of Undetected Acute Coronary Syndrome in Elderly Patients with Chest Pain Who Visited the Emergency Department: A Large-Cohort Retrospective Study
- Title
- Higher Frequency of Undetected Acute Coronary Syndrome in Elderly Patients with Chest Pain Who Visited the Emergency Department: A Large-Cohort Retrospective Study
- Authors
- Hong, Ki Hun; Bae, Sung Jin; Lee, Dong Hoon; Lee, Choung Ah; Park, Sang Hyun; Kim, Duk Ho; Kim, Eui Chung; Lim, Jee Yong; Han, Sangsoo; Choi, Yoon Hee
- Ewha Authors
- 최윤희
- SCOPUS Author ID
- 최윤희
- Issue Date
- 2021
- Journal Title
- BIOMED RESEARCH INTERNATIONAL
- ISSN
- 2314-6133
2314-6141
- Citation
- BIOMED RESEARCH INTERNATIONAL vol. 2021
- Publisher
- HINDAWI LTD
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background. Acute coronary syndrome (ACS) is a critical disease encountered in the emergency department (ED). Despite the development of diagnostic tools, it may be difficult to diagnose ACS because of atypical symptoms and equivocal test results. We investigated the difference in the rates of revisit and undetected ACS between adult and elderly patients who visited the ED with chest pain. Method. Data from 11,323 patients who visited the ED with chest pain at university hospitals in Korea were retrospectively analyzed. The cohort was categorized into two age groups: the adult (30-64 years) and elderly (>65 years). Baseline characteristic data (age, sex, vital signs, triage category, etc.) were obtained. We selected patients who revisited the ED within 30d and investigated whether ACS was diagnosed. Result. The revisit rate was higher in the elderly (12%) than in the adult group (8.3%). The rate of undetected ACS among the revisited patients was 2.91% (18/7,186) in adults and 6.08% (16/1,998) in elderly patients. Conclusion. Elderly patients with chest pain had an increased rate of ED revisits and undetected ACS than adult patients. We recommend that old patients should be hospitalized to observe the progression of cardiac complaints or receive short-term follow-up.
- DOI
- 10.1155/2021/6611051
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
-
6611051.pdf(427.7 kB)
Download
- Export
- RIS (EndNote)
- XLS (Excel)
- XML