Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study
Purpose. Correct prehospital diagnosis of ischaemic heart disease (IHD) may accelerate and improve the treatment. We sought to evaluate the accuracy of prehospital diagnoses of ischemic heart diseases assigned by physicians. Methods. The Mobile Emergency Care Unit (MECU) in Odense, Denmark, services...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2013/754269 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850234905390219264 |
|---|---|
| author | Louise Houlberg Hansen Søren Mikkelsen |
| author_facet | Louise Houlberg Hansen Søren Mikkelsen |
| author_sort | Louise Houlberg Hansen |
| collection | DOAJ |
| description | Purpose. Correct prehospital diagnosis of ischaemic heart disease (IHD) may accelerate and improve the treatment. We sought to evaluate the accuracy of prehospital diagnoses of ischemic heart diseases assigned by physicians. Methods. The Mobile Emergency Care Unit (MECU) in Odense, Denmark, services a population of 260.000. All admissions in 2009 concerning patients diagnosed in the IHD category were assessed. Outcome and diagnosis of each patient were manually validated in accordance to the final diagnosis established following admission to hospital, using the discharge summary from the relevant department as reference. Results. 428 MECU runs with a prehospital diagnosis of IHD were registered. 422 of these were included in the study and 354 of those patients were suitable for this analysis. 73,4% of the patients hospitalized with a prehospital diagnosis of IHD were initially admitted to the relevant ward. Of these patients, 40,0% had their preliminary diagnosis of IHD confirmed. 14,1% of all patients admitted to the hospital were diagnosed with nonheart conditions. Preliminary diagnoses of STEMI had an accuracy of 87,5%. Conclusions. The preliminary IHD diagnoses assigned by the MECU physicians were acceptable. In case of STEMI patients the diagnostic accuracy was excellent. In this study there was an apparent overtriage. |
| format | Article |
| id | doaj-art-180ab0d499ad434da9c5075fbf2c502e |
| institution | OA Journals |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-180ab0d499ad434da9c5075fbf2c502e2025-08-20T02:02:29ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/754269754269Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective StudyLouise Houlberg Hansen0Søren Mikkelsen1Department of Anaesthesiology and Intensive Care, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, DenmarkDepartment of Anaesthesiology and Intensive Care, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, DenmarkPurpose. Correct prehospital diagnosis of ischaemic heart disease (IHD) may accelerate and improve the treatment. We sought to evaluate the accuracy of prehospital diagnoses of ischemic heart diseases assigned by physicians. Methods. The Mobile Emergency Care Unit (MECU) in Odense, Denmark, services a population of 260.000. All admissions in 2009 concerning patients diagnosed in the IHD category were assessed. Outcome and diagnosis of each patient were manually validated in accordance to the final diagnosis established following admission to hospital, using the discharge summary from the relevant department as reference. Results. 428 MECU runs with a prehospital diagnosis of IHD were registered. 422 of these were included in the study and 354 of those patients were suitable for this analysis. 73,4% of the patients hospitalized with a prehospital diagnosis of IHD were initially admitted to the relevant ward. Of these patients, 40,0% had their preliminary diagnosis of IHD confirmed. 14,1% of all patients admitted to the hospital were diagnosed with nonheart conditions. Preliminary diagnoses of STEMI had an accuracy of 87,5%. Conclusions. The preliminary IHD diagnoses assigned by the MECU physicians were acceptable. In case of STEMI patients the diagnostic accuracy was excellent. In this study there was an apparent overtriage.http://dx.doi.org/10.1155/2013/754269 |
| spellingShingle | Louise Houlberg Hansen Søren Mikkelsen Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study Emergency Medicine International |
| title | Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study |
| title_full | Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study |
| title_fullStr | Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study |
| title_full_unstemmed | Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study |
| title_short | Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study |
| title_sort | ischaemic heart disease accuracy of the prehospital diagnosis a retrospective study |
| url | http://dx.doi.org/10.1155/2013/754269 |
| work_keys_str_mv | AT louisehoulberghansen ischaemicheartdiseaseaccuracyoftheprehospitaldiagnosisaretrospectivestudy AT sørenmikkelsen ischaemicheartdiseaseaccuracyoftheprehospitaldiagnosisaretrospectivestudy |