Alfred Doku, Tom A Ndanu, Frank Edwin, Kow Entsua-Mensah, John Tetteh, Aba Ghansah, Bernard Yeboah-Asiamah, Desrie Gyan, Innocent Adzamli, Mohammed A Sheriff, Mark Tettey
{"title":"加纳阿克拉两家三级医疗中心的急性胸痛模式。","authors":"Alfred Doku, Tom A Ndanu, Frank Edwin, Kow Entsua-Mensah, John Tetteh, Aba Ghansah, Bernard Yeboah-Asiamah, Desrie Gyan, Innocent Adzamli, Mohammed A Sheriff, Mark Tettey","doi":"10.4314/gmj.v58i3.8","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the clinical presentation and evaluation of acute life-threatening chest pain in Accra, Ghana.</p><p><strong>Design: </strong>This was a cross-sectional study at the emergency departments of two leading tertiary hospitals in Accra.</p><p><strong>Settings: </strong>The study was conducted at the Korle-Bu Teaching Hospital and the 37 Military Hospital in Accra.</p><p><strong>Participants: </strong>The study participants comprised adult patients aged 18 years and above who presented with acute chest pain at the emergency departments between April and June 2018.</p><p><strong>Main outcome: </strong>Acute coronary syndrome is the leading life-threatening cause of chest pain with poor pre- and in-hospital care.</p><p><strong>Results: </strong>232 patients with chest pain were enrolled as respondents aged 18 to 94 years. The prevalence of life-threatening conditions causing chest pain was 31.9% of those who presented with acute chest pain. These included acute coronary syndrome (82.4%), pulmonary embolism (14.9%), and acute chest syndrome (2.7%). A few (6.6%) with life-threatening conditions such as acute coronary syndrome were transported by ambulances, and 44.3% reported to the facility within 2 to 9 days after the onset of chest pain. None of the patients with pulmonary embolism and acute chest syndrome had computer tomography pulmonary angiogram (CTPA) and echocardiogram done, respectively.</p><p><strong>Conclusion: </strong>Our study found that life-threatening conditions amongst patients presenting with acute chest pains are common; however, there is a need to improve pre-hospital care and in-hospital assessment of these cases.</p><p><strong>Funding: </strong>The study was partly funded by the Medtronic Foundation.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"58 3","pages":"231-238"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465723/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patterns of acute chest pain at two tertiary centres in Accra, Ghana.\",\"authors\":\"Alfred Doku, Tom A Ndanu, Frank Edwin, Kow Entsua-Mensah, John Tetteh, Aba Ghansah, Bernard Yeboah-Asiamah, Desrie Gyan, Innocent Adzamli, Mohammed A Sheriff, Mark Tettey\",\"doi\":\"10.4314/gmj.v58i3.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the clinical presentation and evaluation of acute life-threatening chest pain in Accra, Ghana.</p><p><strong>Design: </strong>This was a cross-sectional study at the emergency departments of two leading tertiary hospitals in Accra.</p><p><strong>Settings: </strong>The study was conducted at the Korle-Bu Teaching Hospital and the 37 Military Hospital in Accra.</p><p><strong>Participants: </strong>The study participants comprised adult patients aged 18 years and above who presented with acute chest pain at the emergency departments between April and June 2018.</p><p><strong>Main outcome: </strong>Acute coronary syndrome is the leading life-threatening cause of chest pain with poor pre- and in-hospital care.</p><p><strong>Results: </strong>232 patients with chest pain were enrolled as respondents aged 18 to 94 years. The prevalence of life-threatening conditions causing chest pain was 31.9% of those who presented with acute chest pain. These included acute coronary syndrome (82.4%), pulmonary embolism (14.9%), and acute chest syndrome (2.7%). A few (6.6%) with life-threatening conditions such as acute coronary syndrome were transported by ambulances, and 44.3% reported to the facility within 2 to 9 days after the onset of chest pain. None of the patients with pulmonary embolism and acute chest syndrome had computer tomography pulmonary angiogram (CTPA) and echocardiogram done, respectively.</p><p><strong>Conclusion: </strong>Our study found that life-threatening conditions amongst patients presenting with acute chest pains are common; however, there is a need to improve pre-hospital care and in-hospital assessment of these cases.</p><p><strong>Funding: </strong>The study was partly funded by the Medtronic Foundation.</p>\",\"PeriodicalId\":94319,\"journal\":{\"name\":\"Ghana medical journal\",\"volume\":\"58 3\",\"pages\":\"231-238\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465723/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ghana medical journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4314/gmj.v58i3.8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ghana medical journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/gmj.v58i3.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Patterns of acute chest pain at two tertiary centres in Accra, Ghana.
Objective: To assess the clinical presentation and evaluation of acute life-threatening chest pain in Accra, Ghana.
Design: This was a cross-sectional study at the emergency departments of two leading tertiary hospitals in Accra.
Settings: The study was conducted at the Korle-Bu Teaching Hospital and the 37 Military Hospital in Accra.
Participants: The study participants comprised adult patients aged 18 years and above who presented with acute chest pain at the emergency departments between April and June 2018.
Main outcome: Acute coronary syndrome is the leading life-threatening cause of chest pain with poor pre- and in-hospital care.
Results: 232 patients with chest pain were enrolled as respondents aged 18 to 94 years. The prevalence of life-threatening conditions causing chest pain was 31.9% of those who presented with acute chest pain. These included acute coronary syndrome (82.4%), pulmonary embolism (14.9%), and acute chest syndrome (2.7%). A few (6.6%) with life-threatening conditions such as acute coronary syndrome were transported by ambulances, and 44.3% reported to the facility within 2 to 9 days after the onset of chest pain. None of the patients with pulmonary embolism and acute chest syndrome had computer tomography pulmonary angiogram (CTPA) and echocardiogram done, respectively.
Conclusion: Our study found that life-threatening conditions amongst patients presenting with acute chest pains are common; however, there is a need to improve pre-hospital care and in-hospital assessment of these cases.
Funding: The study was partly funded by the Medtronic Foundation.