Comparison of nine coronary risk scores in evaluating patients presenting to hospital with undifferentiated chest pain.

ABSTRACT:

Introduction

We compared performance of nine risk scores for coronary heart disease (CHD) among patients presenting to an emergency department (ED) with undifferentiated chest pain of possible coronary origin.

Methods

A retrospective study was undertaken of adult patients presenting with chest pain to atertiary hospital ED with no electrocardiographs or troponin results diagnostic of ischemic chest pain (ICP) or acute coronary syndrome at ED presentation, and no clearly evident noncoronary diagnosis. Risk scores were applied using cut-points distinguishing low- from high-risk patients according to discharge diagnosis of noncardiac chest pain (NCCP) or ICP, respectively. A lower odds ratio (OR) for ICP denoted lower risk for ICP. Score performance was compared using area unde

SUBMITTER: Wamala H 

PROVIDER: S-EPMC6296689 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature