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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Are examination findings important in screening for angina in the Malaysian patient?
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Are examination findings important in screening for angina in the Malaysian patient?

机译：检查结果对筛查马来西亚患者的心绞痛是否重要？

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摘要

BACKGROUND: The objective of this study is to look at how well patient history and examination findings can be used in screening for angina. METHODS: A total of 887 records were extracted from the electronic medical record system (EMR) in Selayang Hospital, Malaysia. The data was cleaned; 69 possible variables were extracted, and univariate and multivariate analyses were performed. RESULTS: From the univariate analysis, it was found that 19 variables are significantly associated with a diagnosis of angina. However, multiple logistic regression reveals that only 11 of these 19 variables are significantly related to a diagnosis of angina. Chest pain aggravated by exertion, history of diabetes mellitus, and history of heart disease (regardless of whether on treatment or not) are significant predictors of angina. Sudden onset chest pain, pain that is persistent, pain relieved by other means, pain aggravated by inspiration, and findings of rhonchi are important predictors of a diagnosis other than angina. The degree of overall accuracy is high at 71.3%. There are eight factors which are significant in the univariate analysis but are not significant in the multivariate analysis. These are marital status, pain relieved by glyceryl trinitrate (GTN), pain relieved by rest, associated nausea, pain aggravated by posture, pain aggravated by cough, history of hypertension, and history of smoking. CONCLUSIONS: These findings suggest that examination findings do not play a significant role in screening for angina.
机译：背景：这项研究的目的是看病人的病史和检查结果可用于筛查心绞痛的程度。方法：从马来西亚Selayang医院的电子病历系统（EMR）中提取了总共887条病历。数据已清除;提取了69个可能的变量，并进行了单变量和多变量分析。结果：从单变量分析中发现，有19个变量与心绞痛的诊断显着相关。但是，多重逻辑回归分析显示，这19个变量中只有11个与心绞痛的诊断显着相关。劳累，糖尿病史和心脏病史（无论是否接受治疗）加重的胸痛是心绞痛的重要预测指标。突然发作的胸痛，持续性疼痛，通过其他方式缓解的疼痛，由于吸气而加重的疼痛以及隆基的发现是除心绞痛以外的重要诊断指标。总体准确度很高，为71.3％。有八个因素在单变量分析中很重要，但在多元分析中不重要。这些症状包括婚姻状况，三硝酸甘油酯（GTN）缓解的疼痛，休息引起的疼痛，恶心，因姿势加重的疼痛，咳嗽加重的疼痛，高血压病史和吸烟史。结论：这些发现提示检查结果在心绞痛筛查中没有重要作用。

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