Acute pijn op de borst op de huisartsenpost

Translated title of the contribution: Acute chest pain in out-of-hours primary care

Amy Manten, Simone van den Bulk, Frans H Rutten, Robert T A Willemsen, Tobias N Bonten, Ralf E Harskamp

Research output: Contribution to journalArticleAcademicpeer-review

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Out-of-hours primary care (OOH-PC) facilities act as a first point of contact in acute care in the Netherlands, including acute chest pain. The facilities perform initial triage to assess the patient's urgency using standardized triage protocols (Netherlands Triage Standard). The performance of the current protocol for chest pain assessment was recently evaluated and showed only moderate discriminatory properties. Although final triage decision-making is improved by the clinical experience of triage assistants and general practitioners, substantial over- and under-triage persists. Improving the care of patients with chest pain in OOH-PC should primarily be sought in improving the triage software, followed by the use of innovative diagnostic tools (such as troponine measurements).
Translated title of the contributionAcute chest pain in out-of-hours primary care
Original languageDutch
Article numberD7379
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Issue number33
Publication statusPublished - 8 Aug 2023


  • Humans
  • After-Hours Care/methods
  • Chest Pain/diagnosis etiology
  • Triage/methods
  • General Practitioners
  • Primary Health Care/methods


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