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Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.
University of Borås, Sweden.
University of Borås, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of Borås, Sweden.ORCID iD: 0000-0003-1878-0992
University of Gothenburg, Gothenburg, Sweden.
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2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, p. 43-47Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome.

METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010.

RESULTS: In all, 1836 patients were included in the interventional study. Dyspnoea was reported in 38% and nausea and/or vomiting in 26% of patients. The risk of death within one year increased with the presence of dyspnoea. The presence of nausea and/or vomiting increased the likelihood of a final diagnosis of acute myocardial infarction (AMI).

CONCLUSION: This study shows that dyspnoea, nausea and/or vomiting increase the risk of death and serious diagnosis among ACS patients. This means that dyspnoea, nausea and/or vomiting should influence the ANs' assessment and that special education in cardiovascular nursing is required.

Place, publisher, year, edition, pages
2017. Vol. 33, p. 43-47
National Category
Nursing
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-35985DOI: 10.1016/j.ienj.2016.12.001ISI: 000407530200008PubMedID: 28438478Scopus ID: 2-s2.0-85018660866OAI: oai:DiVA.org:mdh-35985DiVA, id: diva2:1117676
Available from: 2017-06-29 Created: 2017-06-29 Last updated: 2020-01-30Bibliographically approved

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