000			02782nam a22002657a 4500
001			R000754
003			PILC
005			20240807104228.0
008			240807b |||||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _drda
041			_aeng
050			_aMED 2023 0004
245			_aComparing 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./ _b[Principal Investigator]: Gerona, Mark Ledge G.
260			_aFairview, Quezon City: _bDepartment of Medicine, FEu-NRMF, _c2023
300			_c(in folder) _ewith flash drive (soft copy)
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes bibliographical references.
520			_aABSTRACT: 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.
521			_arefooah _aRESDM
700			_aGerona, Mark Ledge G. _ePrincipal Investigator
856			_21
942			_2lcc _cRE
999			_c12996 _d12996