Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Crucial information lacking in chest pain referrals

09.03.2005


Important information that could optimise the diagnosis and management of chest pain patients is often lacking on referral between primary and secondary care, according to an influential multidisciplinary working group of the Angina Forum. In a bid to tackle the situation, the group has developed a template for use by both general practices and rapid access chest pain clinics (RACPCs).



The move follows a meeting of the Forum’s expert working group, which highlighted the major problems that can be caused when referrals of suspected angina patients, both to and from secondary care assessment, are not accompanied by adequate information. According to the group, this can result in delay, confusion, misdiagnosis and inappropriate treatment.

The consensus guidance provides a checklist for the essential information which should accompany suspected angina patients on referral to rapid access chest pain clinics and on their return to primary care. The list is also available as a pro-forma which can be adopted or modified for local variations.


Explaining the rationale behind the document, Angina Forum group member Professor Adam Timmis, consultant cardiologist at the London Chest Hospital, comments: “While there are clearly pockets of best practice, the quality of information following angina patients on their disease management journey is patchy. This consensus document has been developed in an attempt to spread best practice more widely and optimise the increasingly important role of chest pain clinics.”

According to the Department of Health, patients in all acute Trusts now have access to RACPCs,1 which were established as part of the National Service Framework for Coronary Heart Disease in 2000,2 and a majority of Trusts are now achieving the target maximum
waiting time of 14 days from referral to assessment.3 However, no clear guidelines exist on referral procedures.

The problem is often most pronounced when patients are returned to the care of their GP from secondary care, according to specialist GP Dr George Kassianos, also a member of the Forum’s working group. “Following the RACPC appointment, patients often return to the GP with no written information about diagnosis or treatment, and the GP has to rely on the patient’s recall of what they were told by the doctor they saw in the clinic,” he explains. “After the patient has been seen in the RACPC and is waiting for their next appointment, there is no protocol for the GP on what to watch for, how often the patient should be seen, or how to address the patient’s concerns about their condition.”

In developing its guidance, the Angina Forum group explored examples of best practice and arrived at a consensus regarding the information that should pass between primary and secondary care in cases of suspected angina. The template addresses many of the things often overlooked, such as family history and known intolerances to certain anti-anginal drugs. It also serves as a check to ensure that urgent cases, such as severe chest pain that occurs at rest or lasts longer than 20 minutes, are treated as emergencies and not referred to the chest pain clinics.

For patients referred back from the RACPC to the GP, the template will help ensure that a rational management plan is included. It will also identify when anti-anginal drugs have been stopped or new medical therapy initiated.

Copies of the checklist and referral form are available from the Angina Forum Secretariat, e-mail anginaforum@phaseiv.co.uk.

Sandra Batten | alfa
Further information:
http://www.phaseiv.co.uk

More articles from Health and Medicine:

nachricht Chronic stress induces fatal organ dysfunctions via a new neural circuit
21.08.2017 | Hokkaido University

nachricht New malaria analysis method reveals disease severity in minutes
14.08.2017 | University of British Columbia

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

Nagoya physicists resolve long-standing mystery of structure-less transition

21.08.2017 | Materials Sciences

Chronic stress induces fatal organ dysfunctions via a new neural circuit

21.08.2017 | Health and Medicine

Scientists from the MSU studied new liquid-crystalline photochrom

21.08.2017 | Materials Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>