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Children Presenting to Emergency with Chest Pain: Long-term follow-up study

B H Rowe, S McDonald, T Sutcliffe

    Canadian Family Physician Medecin De Famille Canadien
    |January 12, 2011
    PubMed

    Insights

    Pediatric chest pain is generally benign, with no deaths or significant hospitalizations observed in a long-term study. Most children with chest pain recover well, indicating a favorable prognosis.

    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiology
    • Clinical Outcomes

    Background:

    • Chest pain is a common presenting complaint in pediatric emergency departments.
    • The etiology of pediatric chest pain is often benign, but it can cause significant parental anxiety.
    • Accurate risk stratification is crucial for appropriate patient management.

    Purpose of the Study:

    • To evaluate the long-term outcomes of pediatric patients presenting with chest pain.
    • To determine the incidence of adverse events and long-term morbidity in this cohort.
    • To assess the overall prognosis and benign nature of pediatric chest pain.

    Main Methods:

    • A cohort study design was employed.
    • Follow-up data was collected from 317 pediatric patients.
    • Patient outcomes were assessed through long-term follow-up contact, including self-assessment and parental assessment.

    Main Results:

    • No deaths were recorded in the cohort.
    • Hospital stays were infrequent among the patients studied.
    • All patients reported feeling well at long-term follow-up.

    Conclusions:

    • Pediatric chest pain is overwhelmingly benign.
    • The long-term prognosis for children presenting with chest pain to the emergency department is excellent.
    • This study supports a low threshold for reassuring caregivers regarding the benign nature of pediatric chest pain.

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