A prospective investigation of the prognosis of noncardiac chest pain in emergency department patients.
J Psychosom Res
; 186: 111883, 2024 Nov.
Article
en En
| MEDLINE
| ID: mdl-39213941
ABSTRACT
OBJECTIVES:
This study sought to describe the 2-year evolution of the intensity and frequency of noncardiac chest pain (NCCP), NCCP-related disability and health-related quality of life in a cohort of emergency department (ED) patients. It also aimed to identify and characterize subgroups of patients who share similar NCCP trajectories.METHODS:
672 consecutive patients with NCCP were prospectively recruited in two EDs. NCCP, physical and mental health-related quality of life and pain-related impairment were assessed at baseline and 6 months, 1 year and 2 years after the index ED visit.RESULTS:
Significant reductions in the intensity and frequency of NCCP and in NCCP-related disability were observed over time, with 58.1% of patients being considered NCCP-free at the 2-year follow-up. Four trajectories of NCCP intensity were identified through latent class growth mixture modelling Worsening Trajectory (6.8%), Persistence Trajectory (20.5%), Limited Improvement Trajectory (13.1%) and Remission Trajectory (59.5%). Physical quality of life was significantly higher in the latter two trajectories at all assessment points. Patients in the Remission Trajectory reported a better mental quality of life and a greater decrease in NCCP-related disability over time than those in the other trajectories.CONCLUSIONS:
Over 40% of ED patients with NCCP experienced persistent biopsychosocial morbidity that warrants further clinical attention.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Dolor en el Pecho
/
Servicio de Urgencia en Hospital
Idioma:
En
Revista:
J Psychosom Res
Año:
2024
Tipo del documento:
Article