Identifying patients for early discharge: performance of decision rules among patients with acute chest pain.

ABSTRACT:

Background

The HEART score and North American Chest Pain Rule (NACPR) are decision rules designed to identify acute chest pain patients for early discharge without stress testing or cardiac imaging. This study compares the clinical utility of these decision rules combined with serial troponin determinations.

Methods and results

A secondary analysis was conducted of 1005 participants in the Myeloperoxidase In the Diagnosis of Acute coronary syndromes Study (MIDAS). MIDAS is a prospective observational cohort of Emergency Department (ED) patients enrolled from 18 US sites with symptoms suggestive of acute coronary syndrome (ACS). The ability to identify participants for early discharge and the sensitivity for ACS at 30 days were compared among an unstructured assessment, NACPR

SUBMITTER: Mahler SA 

PROVIDER: S-EPMC3565031 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature