METHODS: Prospective, single-centre observational study conducted in a general ED of General Hospital of Merano in Italy.
METHODS: For all patients included, the triage nurses and the emergency physicians were asked to independently interpret and classify the ECGs answering to dichotomous questions. We correlated the interpretation of the ECG made by the triage nurses with the occurrence of acute cardiovascular events. The inter-rater agreement in ECG interpretation between physicians and triage nurses was evaluated with Cohen\'s kappa analysis.
RESULTS: Four hundred and ninety-one patients were included. The inter-rater agreement between triage nurses and physicians in classifying an ECG as abnormal was good. Patients who developed an acute cardiovascular event were 10.6% (52/491), and in 84.6% (44/52) of them, the nurse accurately classified the ECG as abnormal, with a sensitivity of 84.6% and a specificity of 43.5%.
CONCLUSIONS: Triage nurses have a moderate ability in identifying alterations in specific components of the ECG but a good ability in identifying patterns indicative of time-dependent conditions correlated with major acute cardiovascular events.
UNASSIGNED: Triage nurses can accurately interpret the ECG in the ED to identify patients at high risk of acute cardiovascular events.
UNASSIGNED: The study was reported according to the STROBE guidelines.
UNASSIGNED: The study did not involve any patients during its conduction.
方法:前瞻性,
方法:对于所有纳入的患者,
结果:纳入491例患者。
结论:分诊护士在识别ECG特定成分变化方面具有中等能力,但在识别与主要急性心血管事件相关的时间依赖性疾病的模式方面具有良好能力。
UNASSIGNED:分诊护士可以准确地解释ED中的ECG,以识别处于急性心血管事件高风险的患者。
未经评估:该研究是根据STROBE指南报告的。
UNASSIGNED:该研究在其传导过程中未涉及任何患者。