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Higher Frequency of Undetected Acute Coronary Syndrome in Elderly Patients with Chest Pain Who Visited the Emergency Department

논문 작성자
Ki Hun Hong, Sung Jin Bae, Dong Hoon Lee, Choung Ah Lee, Sang Hyun Park, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Sangsoo Han, Yoon Hee Choi
논문 게재지
BioMed research international
논문 게재년
2021
논문 게재월
4
이미지

Higher Frequency of Undetected Acute Coronary Syndrome in Elderly Patients with Chest Pain Who Visited the Emergency Department: A Large-Cohort Retrospective Study

 

Ki Hun Hong, Sung Jin Bae, Dong Hoon Lee, Choung Ah Lee, Sang Hyun Park, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Sangsoo Han, Yoon Hee Choi

BioMed research international, 2021:6611051. doi: 10.1155/2021/6611051

ABSTRACT

Background: Acute coronary syndrome (ACS) is a critical disease encountered in the emergency department (ED). Despite the development of diagnostic tools, it may be difficult to diagnose ACS because of atypical symptoms and equivocal test results. We investigated the difference in the rates of revisit and undetected ACS between adult and elderly patients who visited the ED with chest pain.

Materials and Methods: Data from 11,323 patients who visited the ED with chest pain at university hospitals in Korea were retrospectively analyzed. The cohort was categorized into two age groups: the adult (30-64 years) and elderly (>65 years). Baseline characteristic data (age, sex, vital signs, triage category, etc.) were obtained. We selected patients who revisited the ED within 30 d and investigated whether ACS was diagnosed.

Results: The revisit rate was higher in the elderly (12%) than in the adult group (8.3%). The rate of undetected ACS among the revisited patients was 2.91% (18/7,186) in adults and 6.08% (16/1,998) in elderly patients.

Conclusions: Elderly patients with chest pain had an increased rate of ED revisits and undetected ACS than adult patients. We recommend that old patients should be hospitalized to observe the progression of cardiac complaints or receive short-term follow-up.

- PMID: 33954184

- Fulltext: https://www.hindawi.com/journals/bmri/2021/6611051/