Study of risk factors affecting the survival rate of emergency victims with "chest pain" as chief complaint

Abstract

Research Question:What are the risk factors affecting the survival of emergency victims with chest pain as chief complaint.Objectives:1. To find out the relative risk of different risk factors. 2. To find out whether the association between survival rate and various sociodemographic variables are statistically significant or not.Study Design:Descriptive study.Setting:This study is based on the Pre-hospital care Records (PCR) of the Emergency Management and Research Institute (EMRI) from May 2007 to December 2007, in Andhra Pradesh.Participants:2020 emergency victims, with chest pain as the chief complaint, reported to EMRI from May to December 2007.Study Variables:Demographic characteristics of the victims, time and day of the incident, response time in handling the emergency, and so on.Statistical Analysis:Proportions, Chi-Square test, and Odds Ratio.Results:Of all the risk factors studied, gender (Male), age (65 +), and incident location (residence), proved to be the risk factors for the non-survival of the victims of medical emergencies, with chest pain as the chief complaint. It was also observed that there was a statistically significant association (P < 0.05) between age, gender, area (urban and rural), and occupation with the survival rate. The response time was significantly associated with the survival rate, only for critical cases. Survival rate increases to 33% with response time less than 15 minutes from less than 5% with the response time more than 15 minutes.

Prehospital factors associated with an acute life-threatening condition in non-traumatic chest pain patients — A systematic review

“…[20] excluded due to same data as reference [19]. b Data from reference [21] excluded, reporting no association regarding systolic blood pressure N 150, other studies reporting on low systolic blood pressure.…”

“…In total 10 studies were included, of which seven [18][19][20][21][22][23][24] evaluated potential risk factors and three [25][26][27] evaluated the prehospital diagnostic accuracy of biochemical cardiac markers. In total 56 factors (biochemical cardiac markers excluded) were studied in the articles included (Table 2), and 20 of these were studied in two or more studies (Table 3).…”

Study of the relation of clinical and demographic factors with morbidity in a tertiary care teaching hospital in India

“…The response time was associated with the survival rate of the emergency victims especially for male victims with age more than 65 years, more lives can be saved. [15]…”

Making Recording and Analysis of Chief Complaint a Priority for Global Emergency Care Research in Low‐income Countries

“…While there are many reports from low‐income countries on the local epidemiology of presentations to local emergency care centers, none have derived minimum sets of chief complaints for use in limited‐resource settings. No groups to date have established universally accepted global standards for chief complaint use.…”