Determining factors of service priority in the risk classification of patients with chest pain

Rev Gaucha Enferm. 2023 Nov 13:44:e20220100. doi: 10.1590/1983-1447.2023.20220100.en. eCollection 2023.
[Article in English, Portuguese]

Abstract

Objective: To verify the determining factors of high priority in the risk classification and the outcomes of the care provided to adult patients with chest pain.

Method: Retrospective study, conducted at an emergency referral service of a public hospital in the interior of São Paulo State, analyzing the records of care performed in the risk classification in 181 medical records of patients with the symptom of chest pain, between August and November 2020.

Results: Individuals were most males 98 (54.1%), with moderate pain 133 (73.5), high priority for care 135 (74.5%) and who sought the service spontaneously 139 (76.8%). Of those classified as high priority, 47 (34.8%) were referred to the emergency room and, of these, 27 (17.0%) remained hospitalized. Female gender (p=0.0198; OR=0.40; CI=0.189-0.866) was independently associated with high priority of care.

Conclusion: Despite the priority classification, few participants were referred to the emergency room and required hospitalization. Female gender was a protective factor in the risk classification as high priority.

MeSH terms

  • Adult
  • Brazil / epidemiology
  • Chest Pain / diagnosis
  • Chest Pain / epidemiology
  • Emergency Medical Services*
  • Emergency Service, Hospital
  • Female
  • Humans
  • Male
  • Retrospective Studies
  • Triage*