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Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0003-1878-0992
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2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, S1755-599X(16)30106-9Article in journal (Refereed) Epub ahead of print
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. S1755-599X(16)30106-9
National Category
Nursing
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-35985DOI: 10.1016/j.ienj.2016.12.001PubMedID: 28438478OAI: oai:DiVA.org:mdh-35985DiVA: diva2:1117676
Available from: 2017-06-29 Created: 2017-06-29 Last updated: 2017-06-29

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf