Ótilgreindir brjóstverkir og tengsl vio viovarandi verkjaupplifun og vanlíoan

Erla Svansdóttir, Sesselja Hreggviosdóttir, Björg Siguroardóttir, Elísabet Benedikz, Karl Andersen, Hróbjartur Darri Karlsson, Sesselja Hreggviðsdóttir, Björg Sigurðardóttir

Rannsóknarafurð: Framlag til fræðitímaritsGreinritrýni

2 Tilvitnanir (Scopus)

Útdráttur

Introduction: An estimated 50-75% of visits to cardiac emergency departments are due to chest pain which is non-cardiac in nature (non-cardiac chest pain (NCCP). This study evaluates the prevalence of NCCP in the emergency departments at Landspitali, and assesses its association with continued chest-pain post discharge, mental well-being and the information-provision provided to NCCP patients during hospitalization. Material and methods: Participants were 390 patients (18-65 years) presenting with chest pain to the cardiac emergency or the general emergency department at Landspitali from October 2015-May 2016. Measurements included questionnaires assessing somatic symptoms, mental well-being and quality of life, and questions regarding continued chest-pain and information-provision during hospitalization. Results: In total 72% of participants (282) were considered having NCCP while 24% (92) had cardiac disease. NCCP patients experienced a similar burden of somatic and depressive symptoms, but slightly more anxiety and mental distress than cardiac patients. Equal proportions (60%) of NCCP and cardiac patients reported having experienced chestpain post discharge. Continued chest-pain was, however, associated with greater anxiety (β=0.18, p<0.001) and depression (β=0.18, p<0.003) among NCCP patients. Thirty percent of NCCP patients lacked instructions of how to respond to continued chest-pain and only 40% received information regarding other possible causes of chest pain. Conclusion: NCCP was prevalent among patients presenting to emergency departments at Landspitali. The majority of NCCP patients experienced continued chest-pain after discharge, and such pain experience was associated with mental distress. A third of NCCP patients lacked information about possible causes for the pain and advice about coping with symptoms.

Þýddur titill verksNon-cardiac chest pain and its association with persistent chest pain and poor mental well-being
Upprunalegt tungumálÍslenska
Síður (frá-til)71-77
Síðufjöldi7
FræðitímaritLaeknabladid
Bindi104
Númer tölublaðs2
DOI
ÚtgáfustaðaÚtgefið - 5 feb. 2018

Önnur efnisorð

  • Follow-up
  • Information-provision
  • Mental well-being
  • Non-cardiac chest pain
  • Pain experience
  • Brjósthol
  • Verkir
  • Streita
  • Kvíði
  • Bráðamóttaka
  • Brjóstverkir
  • PSC12
  • CAR12
  • CAD12
  • EAM12
  • Chest Pain
  • Stress, Psychological
  • Emergency Service, Hospital

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