METHODS: A retrospective review included all patients who presented to the VHH CE from 9 March 2023 to 8 September 2023. Patient reports containing the relevant clinical information were generated from the CE electronic medical record system. Diagnoses of MI were checked for accuracy by full record review.
RESULTS: There were 3303 CE presentations in the first 6 months of operation, of which 6% were transferred from other sites. Median age was 65 years (interquartile range [IQR]: 53-77), 56% were males; the most common presenting complaints were presumed cardiac chest pain (67%) and arrhythmia (17%). The admission, discharge and transfer rates were 38%, 54% and 8%, respectively. In total, 15% were diagnosed with MI. The most common diagnoses for discharged and admitted patients were non-specific chest pain (57%) and ST-elevation MI (22%), respectively. Ambulance off-load by 40 min was met for 96%. Median waiting time was 6 min (IQR: 3-10). Median CE LOS for discharged and admitted patients was 3.2 h (IQR: 2.5-4.0) and 3.7 h (IQR: 1.8-6.0), with 75% and 56% being <4 h, respectively.
CONCLUSIONS: The population predominantly had cardiovascular disease as expected. Some performance indicators, including ED LOS, were identified as requiring intervention.
方法:回顾性研究纳入了2023年3月9日至2023年9月8日接受VHHCE检查的所有患者。从CE电子病历系统生成包含相关临床信息的患者报告。通过全记录审查检查MI诊断的准确性。
结果:在手术的前6个月中,有3303个CE演示文稿,其中6%是从其他网站转移的。年龄中位数为65岁(四分位数范围[IQR]:53-77),56%为男性;最常见的主诉是心源性胸痛(67%)和心律失常(17%)。承认,出院率和转移率为38%,54%和8%,分别。总的来说,15%被诊断为MI。出院和入院患者最常见的诊断是非特异性胸痛(57%)和ST段抬高MI(22%)。分别。40分钟的救护车卸载达到96%。平均等待时间为6分钟(IQR:3-10)。出院和入院患者的平均CELOS为3.2h(IQR:2.5-4.0)和3.7h(IQR:1.8-6.0),75%和56%<4小时,分别。
结论:该人群主要患有预期的心血管疾病。一些性能指标,包括EDLOS,被确定为需要干预。