PMID- 32241722
OWN - NLM
STAT- MEDLINE
DCOM- 20210322
LR  - 20210322
IS  - 1878-013X (Electronic)
IS  - 1878-013X (Linking)
VI  - 50
DP  - 2020 May
TI  - Is family history of coronary artery disease important in the emergency 
      department triage?
PG  - 100855
LID - S1755-599X(20)30027-6 [pii]
LID - 10.1016/j.ienj.2020.100855 [doi]
AB  - OBJECTIVE: To explore the role of family history (FH) as a risk factor for ST 
      elevation myocardial infarction (STEMI) in the emergency department (ED) setting 
      during nurse triage and to analyze the clinical outcomes and time lags of 
      patients with and without FH of coronary artery disease (CAD). METHODS: A 
      retrospective archive study was conducted in 2017 in a public tertiary ED at an 
      academic teaching hospital. Data were collected from the electronic medical 
      record for the period of January 2015 to December 2016 on STEMI patients. Of the 
      335 patients identified with STEMI we included 140 (41.8%) who were eligible to 
      the study inclusion criteria and treated at the ED. Patients transferred directly 
      to the catheterization lab were excluded. We collected and compared information 
      from nurse and physician records on known risk factors for STEMI in adherence to 
      American Heart Association guidelines and hospital outcomes between patients with 
      and without FH of CAD. Logistic regressions were performed to identify the 
      contribution of each risk factor on hospital outcomes. RESULTS: A negligible 
      number of triage nurses documented if the patient had a FH compared to physicians 
      (5.7% vs. 98.8%). Patients with and without FH of CAD were similarly evaluated at 
      ED triage. However, patients with FH transferred earlier to the catheterization 
      lab and had lower hospital readmission rates. Logistic regression analysis showed 
      that FH is a protective factor for ED revisit for general and cardiac reasons. 
      CONCLUSION: There is a need to retrieve information on FH of CAD for all patients 
      presenting with symptoms suggestive of STEMI at ED triage.
CI  - Copyright (c) 2020 Elsevier Ltd. All rights reserved.
FAU - Mor, Saban
AU  - Mor S
AD  - Department of Nursing, The Faculty of Health and Welfare Sciences, University of 
      Haifa, Haifa, Israel; Rambam Health Care Campus, Haifa, Israel. Electronic 
      address: morsab1608@gmail.com.
FAU - Lev-Rn, Zaretsky
AU  - Lev-Rn Z
AD  - Rambam Health Care Campus, Haifa, Israel.
FAU - Tal, Shachar
AU  - Tal S
AD  - The Azrieli Faculty of Medicine, Bar-Ilan University, Israel.
LA  - eng
PT  - Journal Article
DEP - 20200331
PL  - England
TA  - Int Emerg Nurs
JT  - International emergency nursing
JID - 101472191
MH  - Coronary Artery Disease/*genetics
MH  - *Emergency Nursing
MH  - *Emergency Service, Hospital
MH  - Female
MH  - Guideline Adherence
MH  - Humans
MH  - Male
MH  - *Medical History Taking
MH  - Middle Aged
MH  - Patient Readmission/statistics & numerical data
MH  - Retrospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/*genetics/therapy
MH  - Time-to-Treatment
MH  - *Triage
OTO - NOTNLM
OT  - Emergency department
OT  - Family medical history
OT  - ST elevation myocardial infarction
OT  - Triage
EDAT- 2020/04/04 06:00
MHDA- 2021/03/23 06:00
CRDT- 2020/04/04 06:00
PHST- 2019/06/24 00:00 [received]
PHST- 2020/03/06 00:00 [revised]
PHST- 2020/03/10 00:00 [accepted]
PHST- 2020/04/04 06:00 [pubmed]
PHST- 2021/03/23 06:00 [medline]
PHST- 2020/04/04 06:00 [entrez]
AID - S1755-599X(20)30027-6 [pii]
AID - 10.1016/j.ienj.2020.100855 [doi]
PST - ppublish
SO  - Int Emerg Nurs. 2020 May;50:100855. doi: 10.1016/j.ienj.2020.100855. Epub 2020 
      Mar 31.