Abstract：
OBJECTIVE: To profile the initial 6-month experience at the Victorian Heart Hospital (VHH) cardiac emergency (CE). The primary objective was to describe VHH CE patient characteristics, including presenting complaint, final diagnosis and disposition. Secondary objectives were to report on patient numbers, patient source and quality indicator performance including ambulance off-load by 40 min, waiting time and length of stay (LOS).
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.
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.
摘要：
目的：介绍在维多利亚州心脏病医院（VHH）心脏急诊（CE）最初6个月的经历。主要目的是描述VHHCE患者特征，包括提出投诉，最终诊断和处置。次要目标是报告患者人数，患者来源和质量指标性能，包括40分钟的救护车卸载，等待时间和停留时间（LOS）。
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。
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。
