Guideline-adherence regarding critical time intervals in the German Chest Pain Unit registry

Vafaie, Mehrshad; Hochadel, Matthias; Münzel, Thomas; Hailer, Birgit; Schumacher, Burghard; Heusch, Gerd; Voigtländer, Thomas; Mudra, Harald; Haude, Michael; Barth, Sebastian; Schmitt, Claus; Darius, Harald; Maier, Lars S.; Katus, Hugo A.; Senges, Jochen; Giannitsis, Evangelos

doi:10.1177/2048872618762639

Cited by 16 publications

(14 citation statements)

References 25 publications

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“…Reductions in prehospital time delays favor survival and clinical outcomes in both genders [29]. Previous work already discussed patient-borne delays, emphasizing the need to raise public awareness [30]. Importantly, women waited longer to seek medical advice, represented in longer time intervals from symptom onset to FMC, symptom onset to CPU admission and symptom onset to PCI.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Patients Admitted to a Certified German Chest Pain Unit: Results from the German Chest Pain Unit Registry

Settelmeier

Rassaf

Hochadel³

et al. 2020

Cardiology

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Introduction: Gender-specific atypical clinical presentation in acute coronary syndrome and sex-specific outcomes in cardiovascular disease in women are well known. The aim of this study is to analyze possible differences between men and women presenting to certified German chest pain units (CPUs). Methods: Data from 13,900 patients derived from the German CPU registry were analyzed for gender differences in patient characteristics, cardiovascular disease manifestation, critical time intervals, treatment and prognosis. Results: A total of 37.8% of patients were female. Typical chest pain occurred more frequently in men, while atypical symptoms occurred more frequently in women. Female gender was associated with longer pre-and in-hospital time delays. Women were more often diagnosed with a nonischemic origin of pain. In a 3-month follow-up, there was no gender-specific difference in combined major adverse coronary and cerebrovascular events. Discussion/Conclusion: This study points out gender-specific differences in prehospital time intervals and a significantly higher percentage of atypical symptoms in suspected myocardial ischemia as well as more noncoronary diagnoses in women. Symptom awareness and a broader diagnostic workup in women are essential.

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Section: Discussionmentioning

confidence: 99%

Gender Differences in Patients Admitted to a Certified German Chest Pain Unit: Results from the German Chest Pain Unit Registry

Settelmeier

Rassaf

Hochadel³

et al. 2020

Cardiology

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“…Es wurden insgesamt bisher über 40.000 Patienten erfasst. Eine Reihe an Publikationen konnte hieraus die hohe Qualität sowie die Überlegenheit gegenüber herkömmlichen Notfallversorgungsstrukturen belegen [ 18 , 31 ]. Die Vorteile des CPU-Konzepts resultieren hier insbesondere aus der hohen Leitlinienadhärenz, der Verbesserung der Versorgungszeiten sowie der umgehenden diagnostischen Aufarbeitung [ 6 ].…”

Section: Entwicklung Der Zertifizierung Von Cpu In Deutschlandunclassified

Vergleich von Chest Pain Units und Stroke Units

Breuckmann

Nabavi

Post

et al. 2020

Herz

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“…The implementation of specialized Chest Pain Units (CPUs) improves the quality of care and reduces mortality. The Chest Pain Unit registry of the German Cardiac Society reports that guideline-adherence regarding critical time intervals and primary PCI rates is excellent in German CPUs (11).…”

Section: Issue @ a Glancementioning

confidence: 99%

Update on the emergency department diagnosis and risk stratification of acute chest pain

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2020

European Heart Journal: Acute Cardiovascular Care

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Guideline-adherence regarding critical time intervals in the German Chest Pain Unit registry

Abstract: Guideline-adherence regarding critical time intervals and primary PCI rates is good in German Chest Pain Units. More than half of patients admitted with suspected ACS had non-ACS diagnoses. Improvements in pre-hospital time delays through public awareness programmes are warranted.

Cited by 16 publications

References 25 publications

Gender Differences in Patients Admitted to a Certified German Chest Pain Unit: Results from the German Chest Pain Unit Registry

Gender Differences in Patients Admitted to a Certified German Chest Pain Unit: Results from the German Chest Pain Unit Registry

Vergleich von Chest Pain Units und Stroke Units

Update on the emergency department diagnosis and risk stratification of acute chest pain

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