Implementation study of a clinical prediction score to rule out cardiogenic chest pain in community: Cluster randomized trial

Détails

Ressource 1Télécharger: BIB_734B385E2ED4.P001.pdf (1603.34 [Ko])
Etat: Serval
Version: Après imprimatur
ID Serval
serval:BIB_734B385E2ED4
Type
Mémoire
Sous-type
(Mémoire de) maîtrise (master)
Collection
Publications
Titre
Implementation study of a clinical prediction score to rule out cardiogenic chest pain in community: Cluster randomized trial
Auteur(s)
Jaunin E.
Directeur(s)
Herzig L.
Institution
Université de Lausanne, Faculté de biologie et médecine
Statut éditorial
Acceptée
Date de publication
2011
Langue
anglais
Nombre de pages
30
Résumé
1.1 Fundamentals Chest pain is a common complaint in primary care patients (1 to 3% of all consultations) (1) and its aetiology can be miscellaneous, from harmless to potentially life threatening conditions. In primary care practice, the most prevalent aetiologies are: chest wall syndrome (43%), coronary heart disease (12%) and anxiety (7%) (2). In up to 20% of cases, potentially serious conditions as cardiac, respiratory or neoplasic diseases underlie chest pain. In this context, a large number of laboratory tests are run (42%) and over 16% of patients are referred to a specialist or hospitalized (2).¦A cardiovascular origin to chest pain can threaten patient's life and investigations run to exclude a serious condition can be expensive and involve a large number of exams or referral to specialist -­‐ often without real clinical need. In emergency settings, up to 80% of chest pains in patients are due to cardiovascular events (3) and scoring methods have been developed to identify conditions such as coronary heart disease (HD) quickly and efficiently (4-­‐6). In primary care, a cardiovascular origin is present in only about 12% of patients with chest pain (2) and general practitioners (GPs) need to exclude as safely as possible a potential serious condition underlying chest pain. A simple clinical prediction rule (CPR) like those available in emergency settings may therefore help GPs and spare time and extra investigations in ruling out CHD in primary care patients. Such a tool may also help GPs reassure patients with more common origin to chest pain.
Mots-clé
chest pain, clinical prediction rule, general practice, research protocol
Création de la notice
21/06/2012 11:43
Dernière modification de la notice
03/03/2018 18:19
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