Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain

BACKGROUND AND OBJECTIVE: Chest pain is one of the common causes of emergency department visit, but only 25-15% of them are diagnosed with acute coronary syndrome (ACS). However, unexplained cases of ACS have led to high mortality rates. The aim of this study was to compare the effectiveness of ESI...

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Autores principales:	R Gharaee, S Zohari Anboohi, H Shiri, M Nasiri
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2019
Materias:	chest pain triage acute coronary syndrome Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/107c2bc9bb9047229efb36695150855b
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spelling	oai:doaj.org-article:107c2bc9bb9047229efb36695150855b2021-11-10T08:30:37ZComparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain1561-41072251-7170https://doaj.org/article/107c2bc9bb9047229efb36695150855b2019-12-01T00:00:00Zhttp://jbums.org/article-1-8253-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Chest pain is one of the common causes of emergency department visit, but only 25-15% of them are diagnosed with acute coronary syndrome (ACS). However, unexplained cases of ACS have led to high mortality rates. The aim of this study was to compare the effectiveness of ESI triage (Emergency Severity Index) and HEART scale (Chest Pain Diagnostic Scale) in detecting the outcome of patients with complaints of chest pain. METHODS: This descriptive study was performed on 200 patients with chest pain in emergency department of selected hospitals of Shahid Beheshti University of Medical Sciences in 2017. The ESI triage form, HEART and demographic information were completed for all patients. Six weeks later patients were re-evaluated in terms of heart problems. FINDINGS: The compliance of the ESI triage and HEART scale in the high-risk group was 27.9% (24 people), the middle-risk group was 79% (62 people) and the low-risk group (30.6%) (11 people). In general, comparing the total scores, these two scales were consistent with 48%. Also, after considering the cut-off point 4.5, the sensitivity 85% and the specificity 89% with a 95% confidence interval for the HEART scale and sensitivity 95%, and the specificity 25% with a 95% confidence interval was found for the ESI triage. CONCLUSION: According to the results of this study, despite its wide range, the ESI triage has shown a poor performance over the HEART scale. Therefore, the use of the combined HEART triage ESI scale can be very helpful.R GharaeeS Zohari AnboohiH ShiriM NasiriBabol University of Medical Sciencesarticlechest paintriageacute coronary syndromeMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 21, Iss 1, Pp 299-305 (2019)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	chest pain triage acute coronary syndrome Medicine R Medicine (General) R5-920
spellingShingle	chest pain triage acute coronary syndrome Medicine R Medicine (General) R5-920 R Gharaee S Zohari Anboohi H Shiri M Nasiri Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
description	BACKGROUND AND OBJECTIVE: Chest pain is one of the common causes of emergency department visit, but only 25-15% of them are diagnosed with acute coronary syndrome (ACS). However, unexplained cases of ACS have led to high mortality rates. The aim of this study was to compare the effectiveness of ESI triage (Emergency Severity Index) and HEART scale (Chest Pain Diagnostic Scale) in detecting the outcome of patients with complaints of chest pain. METHODS: This descriptive study was performed on 200 patients with chest pain in emergency department of selected hospitals of Shahid Beheshti University of Medical Sciences in 2017. The ESI triage form, HEART and demographic information were completed for all patients. Six weeks later patients were re-evaluated in terms of heart problems. FINDINGS: The compliance of the ESI triage and HEART scale in the high-risk group was 27.9% (24 people), the middle-risk group was 79% (62 people) and the low-risk group (30.6%) (11 people). In general, comparing the total scores, these two scales were consistent with 48%. Also, after considering the cut-off point 4.5, the sensitivity 85% and the specificity 89% with a 95% confidence interval for the HEART scale and sensitivity 95%, and the specificity 25% with a 95% confidence interval was found for the ESI triage. CONCLUSION: According to the results of this study, despite its wide range, the ESI triage has shown a poor performance over the HEART scale. Therefore, the use of the combined HEART triage ESI scale can be very helpful.
format	article
author	R Gharaee S Zohari Anboohi H Shiri M Nasiri
author_facet	R Gharaee S Zohari Anboohi H Shiri M Nasiri
author_sort	R Gharaee
title	Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
title_short	Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
title_full	Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
title_fullStr	Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
title_full_unstemmed	Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain
title_sort	comparison of triage effectiveness based on esi and heart scale in diagnosis of outcome in patients with chest pain
publisher	Babol University of Medical Sciences
publishDate	2019
url	https://doaj.org/article/107c2bc9bb9047229efb36695150855b
work_keys_str_mv	AT rgharaee comparisonoftriageeffectivenessbasedonesiandheartscaleindiagnosisofoutcomeinpatientswithchestpain AT szoharianboohi comparisonoftriageeffectivenessbasedonesiandheartscaleindiagnosisofoutcomeinpatientswithchestpain AT hshiri comparisonoftriageeffectivenessbasedonesiandheartscaleindiagnosisofoutcomeinpatientswithchestpain AT mnasiri comparisonoftriageeffectivenessbasedonesiandheartscaleindiagnosisofoutcomeinpatientswithchestpain
_version_	1718440348797108224

Comparison of Triage Effectiveness Based on ESI and HEART Scale in Diagnosis of Outcome in Patients with Chest Pain

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