Performance of risk scores for coronary artery disease: a retrospective cohort study of patients with chest pain in urgent primary care.

ABSTRACT:

Objective

To evaluate the diagnostic performance of the Marburg Heart Score (MHS), INTERCHEST, Gencer rule, Bruins Slot rule and compare these with unaided clinical judgement in patients with chest pain in urgent primary care.

Design

Retrospective, cohort study.

Setting

Regional primary care facility responsible for out-of-hours primary care for a quarter-million people in the Netherlands.

Participants

Consecutive patients aged ≥18 years who were evaluated for chest pain.

Main outcome measures

Discriminatory ability (C-statistic), sensitivity, specificity, positive and negative predictive values (PPV/NPV). The reference standard involved a composite endpoint of the occurrence of death, acute coronary syndrome or coronary revascularisation (=major adverse

SUBMITTER: Kleton M 

PROVIDER: S-EPMC8655518 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature