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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
[Who's calling? The effect on triage when someone calls on behalf of a patient with chest pain]
Mathé Delissen1,2, Anique S M Dobbe1, Carmen D C A Erkelens1
1UMC Utrecht.
Objective:
Is a call made by a surrogate related to urgency allocation or higher odds of a life-threatening event (LTE)?
Design:
Cross-sectional study.
Method:
Calls to the OHS-PC were classified into 'patient-initiated call' or 'surrogate call'. Odds ratios were calculated for the relationship between the type of call and (a) urgency allocation, (b) ACS, and (c) life-threatening event.
Results:
In total 2428 recordings were included for analysis. Around half of the recordings were surrogate calls, and these more often received a high urgency (80.0%) than patient-initiated calls (57.8%). Of all participants, 13.9% were diagnosed with a LTE; in women 10.3%, in men 18.3%. In the surrogate call group this was 18.8%, in the patient-initiated call group 8.9%.
Conclusions:
Surrogate calls on behalf of a patient with symptoms suggestive of ACS receive more often a high urgency, and these patients have a risk twice as high of an LTE.
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