GPs' reasons for referral of patients with chest pain
Country of origin: Belgium
Click for Full Details: www.biomedcentral.comPrompt diagnosis of an acute coronary syndrome is very important and urgent referral to a hospital is imperative because fast treatment can be life-saving and increase the patient's life expectancy and quality of life. The aim of a recent study was to identify GPs' reasons for referring or not referring patients presenting with chest pain.
In a semi-structured interview, 21 GPs were asked to describe why they do or do not refer a patient presenting with chest pain. Interviews were taped, transcribed and qualitatively analysed.
Histories of 21 patients were studied. Six were not referred, seven were referred to a cardiologist and eight to the emergency department. GPs' reasons for referral were background knowledge about the patient, patient's age and cost-benefit estimation, the perception of a negative attitude from the medical rescue team, recent patient contact with a cardiologist without detection of a coronary disease and the actual presentation of signs and symptoms, gut feeling, clinical examination and ECG results.
The article concludes that this study suggests that GPs believe they do not exclusively use the 'classical' signs and symptoms in their decision-making process for patients presenting with chest pain. Background knowledge about the patient, GPs' personal ideas and gut feeling are also important.
The BMC Family Practice article is available online.
Click for Full Details: www.biomedcentral.com
Clinical Pain Advisor April 2018
Managing Head Injury April 2018
Foundation Years Website April 2018
Start Smart – Then Focus April 2018
Health maps to drive health improvements April 2018
inPractice® Oncology April 2018
Read by QxMD March 2018
The Checklist for Primary Care March 2018
Pedi STAT March 2018