Comparing chest pain scoring systems in predicting occurrence of major adverse cardiac events (MACE) among chest pain patients at the emergency department of a private tertiary hospital./ [Principal Investigator]: Gerona, Mark Ledge G.
Comparing chest pain scoring systems in predicting occurrence of major adverse cardiac events (MACE) among chest pain patients at the emergency department of a private tertiary hospital./ [Principal Investigator]: Gerona, Mark Ledge G.
- Fairview, Quezon City: Department of Medicine, FEu-NRMF, 2023
- (in folder) with flash drive (soft copy)
Includes bibliographical references.
ABSTRACT:
Background: Chest pain is one of the most common symptoms encountered in the emergency department. In line with this, an effective early rule out tool to identify between low and high-risk patients can significantly aid clinicians in determining which patients can be safely discharged and those who needs further observation and management. Among these early scoring systems, the History, Electrocardiogram, Age, Risk Factors, and Troponin (HEART) Score, Emergency Department Assessment
of Chest pain Score (EDACS), and the Symptoms, history of vascular disease. Electrocardiography, Age, Risk Factors and Troponin (SVEAT) score stand out. This study aims to compare the performance of the newly developed SVEAT score in comparison to HEART and EDACS score in predicting the occurrence of major adverse cardiovascular events (MACE) within 30 days.
Objectives: The study aims to determine the validity of SVEAT score, EDACS score and HEART score in predicting the outcome in patients who present with chest pain at the emergency department of a private tertiary hospital.
Methodology: A retrospective cohort study was conducted at FEU-NRMF Medical Center involving adult patients presenting to the emergency department with chest pain from January to March 2023.Data from patient records were analyzed and risk stratified based on the chest pain risk scoring systems as described and were compared with one another.
Results: The study found that EDACS, HEART, and SVEAT score showed a significant association with MACE status. It was also shown that both HEART and SVEAT score can effectively risk stratify low risk patients
safe for discharge in the emergency department. Overall, it has been shown that SVEAT score had the highest overall accuracy in predicting MACE within 30 days.
Department of Medicine Research - Department of Medicine
MED 2023 0004
Includes bibliographical references.
ABSTRACT:
Background: Chest pain is one of the most common symptoms encountered in the emergency department. In line with this, an effective early rule out tool to identify between low and high-risk patients can significantly aid clinicians in determining which patients can be safely discharged and those who needs further observation and management. Among these early scoring systems, the History, Electrocardiogram, Age, Risk Factors, and Troponin (HEART) Score, Emergency Department Assessment
of Chest pain Score (EDACS), and the Symptoms, history of vascular disease. Electrocardiography, Age, Risk Factors and Troponin (SVEAT) score stand out. This study aims to compare the performance of the newly developed SVEAT score in comparison to HEART and EDACS score in predicting the occurrence of major adverse cardiovascular events (MACE) within 30 days.
Objectives: The study aims to determine the validity of SVEAT score, EDACS score and HEART score in predicting the outcome in patients who present with chest pain at the emergency department of a private tertiary hospital.
Methodology: A retrospective cohort study was conducted at FEU-NRMF Medical Center involving adult patients presenting to the emergency department with chest pain from January to March 2023.Data from patient records were analyzed and risk stratified based on the chest pain risk scoring systems as described and were compared with one another.
Results: The study found that EDACS, HEART, and SVEAT score showed a significant association with MACE status. It was also shown that both HEART and SVEAT score can effectively risk stratify low risk patients
safe for discharge in the emergency department. Overall, it has been shown that SVEAT score had the highest overall accuracy in predicting MACE within 30 days.
Department of Medicine Research - Department of Medicine
MED 2023 0004
