Background: We aimed to describe diagnosed acute coronary syndrome (ACS) and its care management and\noutcomes in emergency departments (EDs) and to determine related cardiovascular risk factors (CVRFs).\nMethods: We conducted a cross sectional multicenter study that included 1173 adults admitted to EDs for acute\nchest pain (ACP) in 2015 at 14 sites in Tunisia. Data included patientsâ?? baseline characteristics, diagnosis, treatment\nand output.\nResults: ACS represented 49.7% of non-traumatic chest pain [95% CI: 46.7â??52.6]; 74.2% of ACS cases were unstable\nangina/non-ST-segment-elevation myocardial infarction (UA/NSTEMI). Males represented 67.4% of patients with ACS\n(p < 0.001). The median age was 60 years (IQR 52â??70). Emergency medical service transportation was used in 11.9%\nof cases. The median duration between chest pain onset and ED arrival was two hours (Inter quartile ranges (IQR)\n2â??4 h). The age-standardized prevalence rate was 69.9/100,000 PY; the rate was 96.24 in men and 43.7 in women. In\nthe multivariable analysis, CVRFs related to ST segment elevation myocardial infarction were age correlated to sex\nand active smoking. CVRFs related to UA/NSTEMI were age correlated to sex, familial and personal vascular history\nand type 2 diabetes. We reported 27 cases of major adverse cardiovascular events (20.0%) in patients with STEMI\nand 36 in patients with UA/NSTEMI (9.1%).\nConclusion: Half of the patients consulting EDs with ACP had ACS. Emergency medical service transportation calls\nwere rare. Management delays were acceptable. The risk of developing an UA/NSTEMI was equal to the number of\nCVRFs + 1. To improve patient outcomes, it is necessary to increase adherence to international management\nguidelines.
Loading....