A comparative analysis of risk stratification tools for emergency department patients with chest pain

International Journal of Emergency Medicine

Volumn 7, Issue 1, 2014, Pages

  Burkett, Ellen ^a   Marwick, Thomas ^b   Thom, Ogilvie ^c   Kelly, Anne Maree ^d  

^a PRINCESS ALEXANDRA HOSPITAL   (Australia)

^b UNIVERSITY OF TASMANIA   (Australia)

^c NAMBOUR GENERAL HOSPITAL   (Australia)

^d QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

Chest pain; Emergency department; Goldman risk score; Risk score; TIMI

Indexed keywords

ACETYLSALICYLIC ACID; ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; TROPONIN;

ADULT; AREA UNDER THE CURVE; ARTICLE; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT TOOL; COMPARATIVE STUDY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; DIABETES MELLITUS; EMERGENCY WARD; FAMILY HISTORY; FEMALE; GOLDMAN RISK SCORE; HEART DISEASE; HEART FAILURE; HEART LEFT VENTRICLE EJECTION FRACTION; HEART RATE; HIGH RISK PATIENT; HUMAN; HYPERCHOLESTEROLEMIA; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MEDICAL INFORMATION; NATIONAL HEART FOUNDATION OF AUSTRALIA SCORE; OBSERVATIONAL STUDY; PERCUTANEOUS CORONARY INTERVENTION; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECEIVER OPERATING CHARACTERISTIC; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SMOKING; ST SEGMENT DEPRESSION; SYSTOLIC BLOOD PRESSURE; T WAVE INVERSION; THORAX PAIN; THROMBOLYSIS IN MYOCARDIAL INFARCTION RISK SCORE;

EID: 84895558820     PISSN: 18651372     EISSN: 18651380     Source Type: Journal    
DOI: 10.1186/1865-1380-7-10     Document Type: Article

References (33)

1. Hacker S, Madden R: Australia's Health. Australian Institute of Health and Welfare. Canberra: AIHW Cat. No. AUS 44; 2004.
2. Begg S, Vos T, Barker B, et al.: The burden of disease & injury in Australia 2003. In Australian Institute of Health and Welfare. Canberra: AIHW; 2007.
3. Reilly BM, Evans AT, Schaider JJ: Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department. JAMA 2002, 288:342-350.
4. Six AJ, Backus BE, Kelder JC: Chest pain in the emergency room: value of the HEART score. Netherlands Heart J 2008, 16:191-196.
5. Lagerqvist B, Diderholm E, Lindahl B, et al.: FRISC score for selection of patients for an early invasive treatment strategy in unstable coronary artery disease. Heart 2005, 91:1047-1052.
6. Goldman L, Cook F, Johnson PA, et al.: The need for intensive care in patients who come to emergency departments with acute chest pain. New Eng J Med 1996, 334:1498-1504.
7. Sabatine M, Antman E: The thrombolysis in myocardial infarction risk score in unstable angina/non ST-segment elevation myocardial infarction. J Am Coll Cardiol 2003, 41:S89-S95.
8. Sabatine MS, McCabe CH, Morrow DA, et al.: Identification of patients at high risk for death and cardiac ischemic events after hospital discharge. Am Heart J 2002, 143:966-970.
9. Pollack CV, Sites FD, Shofer FS, et al.: Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain population. Acad Emerg Med 2006, 13:13-18.
10. Yan AT, Yan RT, Tan M, et al.: Risk scores for risk stratification in acute coronary syndromes: useful but simpler is not necessarily better. Eur Heart J 2007, 28:1072-1078.
11. Cakir B, Blue K: How to improve the management of chest pain: hospitalists and use of prediction rules. Southern Med J 2007, 100:242-247.
12. Durairaj L, Reilly B, Das K, et al.: Emergency Department admissions to inpatient cardiac telemetry beds: a prospective cohort study of risk stratification and outcomes. Am J Med 2001, 110:7-11.
13. Hollander JE, Sites FD, Pollack CV, et al.: Identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest pain. Ann Emerg Med 2004, 43:71-76.
14. Clinical Practice Improvement Centre statewide cardiac pathways. 2009. [cited 2009 Jan 15]; Available from: http://www.health.qld.gov.au/caru/pathways/ pathways.asp. Accessed Febuary 11, 2014
15. Centre CPI (Ed): Clinical Practice Improvement Payment - user guide In version 2.0 ed: Queensland Health 2009, 1-18.
16. Aroney C, Aylward P, Kelly A-M, et al.: Guidelines for the management of acute coronary syndromes 2006. Med J Aust 2006,184(Suppl):S1-S29.
17. Cullen L, Greenslade J, Hammett CJ, et al.: Comparison of three risk stratification rules for predicting patients with acute coronary syndrome presenting to an australian emergency department. Heart Lung Circ 2013. epub ahead of print
18. Kelly AM: How useful are the heart foundation risk criteria for assessment of emergency department patients with chest pain? Emerg Med Australas 2012, 24:260-265.
19. Antman EM, Cohen M, Bernink P, et al.: The TIMI risk score for unstable Angina/Non-ST elevation MI: a method for prognostication and therapeutic decision making. JAMA 2000, 284:835-842.
20. Cannon CP, Battler A, Brindis RG, et al.: American College of Cardiology key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes. A report of the American College of Cardiology Task Force on Clinical Data Standards (Acute Coronary Syndromes Writing Committee). J Am Coll Cardiol 2001, 38:2114-2130.
21. Zou KH, O'Malley AJ, Mauri L: Receiver-operating characteristic analysis for evaluating diagnostic tests and predictive models. Circulation 2007, 115:654-657.
22. Hess EP, Agarwal D, Chandra S, et al.: Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis. CMAJ 2010, 182:1039-1044.
23. de Araujo GP, Ferreira J, Aguiar C, et al.: TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. Eur Heart J 2005, 26:865-872.
24. Christenson J, Innes G, McKnight D, et al.: Safety and efficiency of emergency department assessment of chest discomfort. CMAJ 2004, 170:1803-1807.
25. Than M, Cullen L, Reid CM, et al.: A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet 2011, 377:1077-1084.
26. Goldman L, Cook EF, Johnson PA, et al.: Prediction of the need for intensive care in patients who come to the emergency departments with acute chest pain. New Eng J Med 1996, 334:1498-1504.
27. Backus BE, Six AJ, Kelder JC, et al.: A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol 2013. doi: 10.1016/j.ijcard.2013.01.255. [Epub ahead of print]
28. Six AJ, Cullen L, Backus BE, et al.: The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study. Crit Pathw Cardiol 2013, 3:121-126.
29. Brieger D, Fox KA, Fitzgerald G, et al.: Predicting freedom from clinical events in non-STelevation acute coronary syndromes: the Global Registry of Acute Coronary Events. Heart 2009, 95:888-894.
30. Kelly AM, Dabee P, Klim S, et al.: External validation of the GRACE Freedom from Events score. Heart Lung Circ 2012, 21:582-585.
31. Soderholm M, Deligani MM, Choudhary M, et al.: Ability of risk scores to predict a low complication risk in patients admitted for suspected acute coronary syndrome. Emerg Med J 2012, 29:644-649.
32. Hess EP, Brison RJ, Perry JJ, et al.: Development of a clinical prediction rule for 30-day cardiac events in emergency department patients with chest pain and possible acute coronary syndrome. Ann Emerg Med 2012, 59:115-125.
33. Mahler SA, Miller CD, Hollander JE, et al.: Identifying patients for early discharge: Performance of decision rules among patients with acute chest pain. Int J Cardiol 2012. doi: 10.1016/j.ijcard.2012.10.010. [Epub ahead of print]