Application of emergency preexamination and triage scoring system combined with SBAR communication mode in patients with chest pain and myocardial ischemia
10.3969/j.issn.1009-0754.2024.12.018
- VernacularTitle:急诊预检分诊评分系统联合SBAR沟通模式在胸痛伴心肌缺血患者中的应用
- Author:
Hongshi ZHANG
1
;
Yan DUAN
;
Yan HOU
;
Mengjie GUO
Author Information
1. 510500 广东 广州,南部战区总医院急诊科
- Keywords:
Chest pain;
Myocardial ischemia;
Emergency preexamination and triage scoring system;
SBAR communication mode;
Application effect
- From:
Journal of Navy Medicine
2024;45(12):1307-1311
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of the emergency preexamination and triage scoring system combined with SBAR communication mode in patients with chest pain and myocardial ischemia.Methods A total of 104 patients who were admitted to the General Hospital of Southern Theater Command from February 2023 to January 2024 for acute chest pain and finally diagnosed as chest pain combined with myocardial ischemia were selected as research objects.They were divided into study group(from August 2023 to January 2024)and control group(from February 2023 to July 2023)according to the time of admission,with 52 patients in each group.The control group implemented conventional emergency intervention.Emergency preexamination and triage scoring system combined with SBAR communication mode were given to the study group.Time consumed in each stage of emergency,rescue effect,the incidence of adverse events,and the satisfaction were compared between the two groups.Results The average triage time,time to exclude other diseases,emergency retention time,time to make a definite diagnosis,time of venous blood collection,time to first ECG,opening time of venous access,and acquisition time of troponin I in the study group were shorter than those in the control group(P<0.05).Compared with the control group,the study group had higher triage accuracy and success rate of rescue,and lower total hospital stay(P<0.05).The overall incidence of adverse events in the study group was lower than that in the control group(1.92%vs.17.31%,P<0.05).Rank sum test of ranked data showed that the study group had higher degree of satisfaction than the control group(96.15%vs.82.69%,P<0.05).Conclusion The application of emergency preexamination and triage scoring system combined with SBAR communication mode has good clinical results in patients with chest pain and myocardial ischemia.It can effectively reduce the time consumption in all stages of emergency department,improve the rescue effect,reduce the incidence of adverse events,and improve clinical satisfaction.
