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首页> 外文期刊>International Journal of General Medicine >Exploitation of resources and cardiovascular outcomes in low-risk patients with chest pain hospitalized in coronary care units
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Exploitation of resources and cardiovascular outcomes in low-risk patients with chest pain hospitalized in coronary care units

机译：在冠心病监护病房住院的低危胸痛患者中资源和心血管结局的开发

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Background: Most patients who present to medical centers due to chest pain do not suffer from acute coronary syndromes and do not need to be hospitalized in coronary care units (CCUs). This study was done to determine exploitation of resources and cardiovascular outcomes in low-risk patients with chest pain hospitalized in CCUs of educational hospitals affiliated with a major medical university. Methods: Over a 4-month period, 550 patients with chest pain who were hospitalized in the CCUs belonging to six hospitals affiliated to the authors' medical university were recruited by census method. Using Thrombolysis in Myocardial Infarction risk score, 95 patients (17.27%) were categorized as low-risk patients. This group was evaluated with respect to demographics, bed occupancy rate, mean hospitalization period, expenses during admission, and cardiovascular outcomes in the 30-day period postdischarge. Results: Mean (± standard deviation) hospitalization duration was 3.04 (±0.71) days. No significant difference was seen between the six surveyed hospitals regarding hospitalization duration (P = 0.602). The highest bed occupancy rate was seen in Taleghani and Shohada Tajrish hospitals and the lowest was in Modarres Hospital. The mean paid treatment expenses by low-risk patients was IRR 2,050,000 (US$205). Mean total hospitalization expenses was US$205. No significant difference was seen between the six surveyed hospitals (P = 0.699). Of the patients studied, 89.5% did not show any cardiovascular complications in 1 month and no deaths occurred. Conclusion: Given the high bed-occupancy rate by low-risk patients, associated high hospitalization costs, and the lack of cardiovascular complications in patients observed at 1-month follow-up after discharge, it is recommended that appropriate evaluations be performed in emergency units to prevent unnecessary admissions.
机译：背景：大多数因胸痛而就医的患者都不会患有急性冠状动脉综合症，也不需要在冠心病监护病房（CCU）住院。这项研究的目的是确定在主要医学院校附属教育医院的CCU中住院的低风险胸痛患者的资源开发和心血管结局。方法：在四个月的时间里，通过人口普查方法招募了550名胸痛患者，这些患者在作者医学院所在的六家医院的CCU中住院。使用溶栓治疗心肌梗死的风险评分，将95例患者（17.27％）归为低危患者。对该人群进行人口统计学，床位占用率，平均住院时间，入院费用和出院后30天内的心血管结局方面的评估。结果：平均住院时间（±标准差）为3.04（±0.71）天。在接受调查的六家医院之间，住院时间没有显着差异（P = 0.602）。 Taleghani和Shohada Tajrish医院的病床占用率最高，而Modarres医院的病床占用率最低。低风险患者的平均已付治疗费用为205万伊朗里亚尔（205美元）。平均总住院费用为205美元。接受调查的六家医院之间没有显着差异（P = 0.699）。在研究的患者中，有89.5％的患者在1个月内未显示任何心血管并发症，也没有死亡。结论：鉴于低危患者的床位占用率高，相关的住院费用高以及出院后1个月随访中观察到的患者缺乏心血管并发症，建议在急诊科进行适当的评估防止不必要的入场。

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