Abstract Objective Complaints of chest pain are one of the most common reasons that people visit emergency departments (EDs). However, more than 50% of patients who present to EDs with chest pain do not have identifiable cardiac disease or other medical conditions. A pilot study was conducted to investigate if using low‐intensity (LI) cognitive behavioural therapy (CBT) in the ED at Flinders Medical Centre, South Australia, reduced the reported levels of anxiety and depression, re‐presentation rates, and the associated cost of patients presenting to the ED with non‐cardiac chest pain. Method A convenience sample (n = 35) was recruited from people who presented to the ED with non‐cardiac chest pain and screened positive for psychological distress. If eligible, participants were referred to the Improving Access to Psychological Therapies@Flinders (IAPT@Flinders) service and, following completion, hospital medical records were reviewed to investigate the number of presentations to the ED and the subsequent costs of each presentation, in the 3-months prior and 3-months preceding treatment. Results There was a decrease in self‐reported levels of depression and anxiety after the completion of treatment, and a suggested 59% decrease in ED admissions and a 69% cost saving. Conclusions The potential health benefits and cost savings as a result of LICBT for patients who present to ED's with non‐cardiac chest pain warrant further investigation utilising a robust and economically validated trial.

中文翻译：

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对急诊科非心源性胸痛的低强度认知行为疗法是否有效？一项试点研究

摘要 目的 主诉胸痛是人们就诊急诊科 (ED) 的最常见原因之一。然而，超过 50% 的胸痛患者没有可识别的心脏病或其他医疗条件。进行了一项试点研究，以调查在南澳大利亚弗林德斯医疗中心的急诊室使用低强度 (LI) 认知行为疗法 (CBT) 是否能降低报告的焦虑和抑郁水平、复发率和相关成本出现非心源性胸痛就诊于 ED 的患者。方法 从因非心源性胸痛到急诊室就诊并筛查出心理困扰呈阳性的人中招募了便利样本 (n = 35)。如果符合条件，参与者被转介到改善获得心理治疗@弗林德斯 (IAPT@Flinders) 服务，并在完成后审查医院医疗记录，以调查在 3 个月内向 ED 提交的次数和每次提交的后续费用治疗前和治疗前 3 个月。结果 治疗结束后，自我报告的抑郁和焦虑水平降低，建议 ED 入院人数减少 59%，成本节省 69%。结论 LICBT 对因非心源性胸痛到急诊就诊的患者的潜在健康益处和成本节省需要利用稳健且经经济验证的试验进行进一步研究。审查医院病历以调查在治疗前 3 个月和治疗前 3 个月内向 ED 就诊的次数以及每次就诊的后续费用。结果 治疗结束后，自我报告的抑郁和焦虑水平降低，建议 ED 入院人数减少 59%，成本节省 69%。结论 LICBT 对于因非心源性胸痛就诊于急诊室的患者的潜在健康益处和成本节约，需要利用稳健且经经济验证的试验进行进一步研究。审查医院病历以调查在治疗前 3 个月和治疗前 3 个月内向 ED 就诊的次数和每次就诊的后续费用。结果 治疗结束后，自我报告的抑郁和焦虑水平降低，建议 ED 入院人数减少 59%，成本节省 69%。结论 LICBT 对于因非心源性胸痛就诊于急诊室的患者的潜在健康益处和成本节约，需要利用稳健且经经济验证的试验进行进一步研究。建议减少 59% 的 ED 入院人数并节省 69% 的成本。结论 LICBT 对于因非心源性胸痛就诊于急诊室的患者的潜在健康益处和成本节约，需要利用稳健且经经济验证的试验进行进一步研究。建议减少 59% 的 ED 入院人数并节省 69% 的成本。结论 LICBT 对于因非心源性胸痛就诊于急诊室的患者的潜在健康益处和成本节约，需要利用稳健且经经济验证的试验进行进一步研究。