Validation of the No Objective Testing Rule and Comparison to the HEART Pathway.

ABSTRACT:

Background

The no objective testing rule (NOTR) is a decision aid designed to safely identify emergency department (ED) patients with chest pain who do not require objective testing for coronary artery disease.

Objectives

The objective was to validate the NOTR in a cohort of U.S. ED patients with acute chest pain and compare its performance to the HEART Pathway.

Methods

A secondary analysis of 282 participants enrolled in the HEART Pathway randomized controlled trial was conducted. Each patient was classified as low risk or at risk by the NOTR. Sensitivity for major adverse cardiac events (MACE) at 30 days was calculated in the entire study population. NOTR and HEART Pathways were compared among patients randomized to the HEART Pathway in the parent trial using McNema

SUBMITTER: Stopyra JP 

PROVIDER: S-EPMC5600651 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature