Interrater agreement of the HEART score history component: A chart review study.

ABSTRACT:

Study objectives

This study investigated the interrater reliability of the history component of the HEART (history, electrocardiogram, age, risk, troponin) score between physicians in emergency medicine (EM) and internal medicine (IM) at 1 tertiary-care center.

Methods

We conducted a retrospective, secondary analysis of 60 encounters selected randomly from a database of 417 patients with chest pain presenting from January to June 2016 to an urban tertiary-care center. A total of 4 raters (1 EM attending, 1 EM resident, 1 IM attending, and 1 IM resident) scored the previously abstracted history data from these encounters.The primary outcome was the interrater agreement of HEART score history components, as measured by kappa coefficient, between EM and IM attending physicians.

SUBMITTER: Pawlukiewicz AJ 

PROVIDER: S-EPMC9051859 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature