A description of the characteristics and outcome of patients hospitalized for acute chest pain in relation to whether they were admitted to the coronary care unit or not in the thrombolytic era

International Journal of Cardiology
J HerlitzElisabeth Zehlertz och Björn Kalin

Abstract

To describe the characteristics and outcome of patients hospitalized for acute chest pain in relation to whether they were admitted to the coronary care unit (CCU) or not. Prospective observational study with a follow-up of 2 years. Sahlgrenska University Hospital in Göteborg, Sweden. All patients hospitalized due to acute chest pain during 6 months. Mortality, use of medical resources, complications and previous history. In all 1.592 patients were admitted to hospital for chest pain, of whom 1.136 (71%) were not directly admitted to the CCU. These patients differed from those directly admitted to the CCU, being older, including more women, having a higher prevalence of known congestive heart failure and a lower degree of initial suspicion of acute myocardial infarction (AMI). Among all patients with confirmed AMI only 58% were directly admitted to CCU. Overall, the occurrence of complications and the use of medical resources were less frequent in the patients not admitted to the CCU. The mortality during the subsequent 2 years was 16.8% for patients not admitted to the CCU and 18.5% for patients admitted to the CCU. When adjusting for various factors at baseline, patients admitted to the CCU had a relative risk of death during...Continue Reading

Citations

Jul 16, 2008·International Journal of Cardiology·Johan HerlitzKenneth Caidahl
Sep 1, 2004·The American Journal of Medicine·Andrea Akita Chun, Steven R McGee

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