Incidence, Diagnoses, and Outcomes of Pediatric Nontraumatic Chest Pain Attended by Ambulance
In this cohort study of children seeking EMS care for nontraumatic chest pain, most cases were benign and rarely of cardiac origin, and abnormal vital signs at EMS assessment were associated with increased risk of serious outcomes. These findings support the need for improved triage systems and risk stratification to guide safe and appropriate care.
Authors
- Ziad Nehme (ORCID: https://orcid.org/0000-0003-2432-1645)
- Emily Mahony (ORCID: https://orcid.org/0000-0001-5254-354X)
- Jocasta Ball (ORCID: https://orcid.org/0000-0002-1512-4255)
- Emily Nehme
- Tegwyn E. McManamny (ORCID: https://orcid.org/0000-0001-6512-0191)
- David J. Anderson (ORCID: https://orcid.org/0000-0002-5575-9167)
- Luke P. Dawson (ORCID: https://orcid.org/0000-0003-3789-5808)
- Dion Stub (ORCID: https://orcid.org/0000-0001-8686-2709)
- Ben Meadley (ORCID: https://orcid.org/0000-0002-4228-5919)
- Daniel Okyere (ORCID: https://orcid.org/0000-0003-0615-7335)
Institutions
- The Alfred Hospital (AU)
- Ambulance Victoria (AU)
- Monash Alfred Psychiatry Research centre (AU)
- Monash University (AU)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-09-26
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.33962
- Citations
- 4
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 9.01