Symptom clusters in patients presenting to the emergency department with possible acute coronary syndrome differ by sex, age, and discharge diagnosis
Symptom clusters in patients presenting to the emergency department with possible acute coronary syndrome differ by sex, age, and discharge diagnosis
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DOI：
10.1016/j.hrtlng.2015.05.008
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发表时间：
2015-09-01
期刊：
影响因子：
2.8
通讯作者：
DeVon, Holli A.
中科院分区：
文献类型：
--
作者：
Rosenfeld, Anne G.;Knight, Elizabeth P.;DeVon, Holli A.
目的：为了确定类的个人提出的艾德可疑ACS谁共享相似的症状和clinical characteristics.Background：在未确诊的疑似ACS患者的症状群描述是一种新的和临床相关的方法，反映了现实世界的急诊科evaluation procedures.Methods：症状进行了测量，使用一个有效的13项症状检查表。结果：874例患者中女性占37%，平均年龄59.9岁。确定了4个症状类别：重度症状负担（1级）、胸部症状和呼吸急促（2级）、仅胸部症状（3级）和疲倦（4级）。ACS患者更可能聚集在2级和3级。女性和年轻患者更可能被归为1类。结论：症状群在艾德急诊分诊和疑似ACS治疗中的价值有待进一步研究。(c)2015 Elsevier Inc. All rights reserved.
Objectives: To identify classes of individuals presenting to the ED for suspected ACS who shared similar symptoms and clinical characteristics.Background: Describing symptom clusters in undiagnosed patients with suspected ACS is a novel and clinically relevant approach, reflecting real-world emergency department evaluation procedures.Methods: Symptoms were measured using a validated 13-item symptom checklist. Latent class analysis was used to describe symptom clusters.Results: The sample of 874 was 37% female with a mean age of 59.9 years. Four symptom classes were identified: Heavy Symptom Burden (Class 1), Chest Symptoms and Shortness of Breath (Class 2), Chest Symptoms Only (Class 3), and Weary (Class 4). Patients with ACS were more likely to cluster in Classes 2 and 3. Women and younger patients were more likely to group in Class 1.Conclusions: Further research is needed to determine the value of symptom clusters in the ED triage and management of suspected ACS. (c) 2015 Elsevier Inc. All rights reserved.