A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain

Abstract Non traumatic chest pain is the second most common cause of attention at the Emergency Departments (ED). The objective is to compare the effectiveness of HEART risk score and the risk of having a Major Adverse Cardiovascular Event (MACE) during the following 6 weeks in ‘Acute Non-traumatic...

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Autores principales:	Iris Nathalie San Román Arispe, Josep Ramón Marsal Mora, Oriol Yuguero Torres, Marta Ortega Bravo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6db9809c9d4f4b20acd553aa74a74961
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spelling	oai:doaj.org-article:6db9809c9d4f4b20acd553aa74a749612021-12-05T12:15:51ZA retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain10.1038/s41598-021-02682-52045-2322https://doaj.org/article/6db9809c9d4f4b20acd553aa74a749612021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02682-5https://doaj.org/toc/2045-2322Abstract Non traumatic chest pain is the second most common cause of attention at the Emergency Departments (ED). The objective is to compare the effectiveness of HEART risk score and the risk of having a Major Adverse Cardiovascular Event (MACE) during the following 6 weeks in ‘Acute Non-traumatic Chest Pain’ (ANTCP) patients of an ED in Lleida (Spain). The ANTCP patient cohort was defined using medical data from January 2015 to January 2016. A retrospective study was performed among 300 ANTCP patients. Diagnostic accuracy to predict MACE, HEART risk score effectiveness and patient risk stratification were analysed on the ANTCP Cohort. HEART risk score was conducted on ANTCP Cohort data and patients were stratified as low-risk (n = 116, 38.7%), moderate-risk (n = 164, 54.7%) and high-risk (n = 20, 6.7%); differently from the assessment performed by 'Current Emergency Department Guidelines’ (CEDG) on the same patients: low risk and discharge (n = 56, 18.7%), medium risk and need of complementary tests (n = 137, 45.7%) and high risk and hospital admission (n = 107, 35.7%).The incidence of MACE was 2.5%, 20.7% and 100% in low, moderate and high-risk, respectively. Discrimination and accuracy indexes were moderate (AUC = 0.73, 95% confidence interval: 0.67–0.80). Clustering moderate-high risk groups by MACE incidence showed an 89.5% of sensitivity. Data obtained from this study suggests that HEART risk score stratified better ‘acute non-traumatic chest pain’ (ANTCP) patients in an Emergency Department (ED) compared with ‘Current Emergency Department Guidelines’ (CEDG) at the Hospital Universitari Arnau de Vilanova (HUAV). HEART score would reduce the number of subsequent consultations, unnecessary admissions and complementary tests. Trial registration: Retrospectively registered.Iris Nathalie San Román ArispeJosep Ramón Marsal MoraOriol Yuguero TorresMarta Ortega BravoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Iris Nathalie San Román Arispe Josep Ramón Marsal Mora Oriol Yuguero Torres Marta Ortega Bravo A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
description	Abstract Non traumatic chest pain is the second most common cause of attention at the Emergency Departments (ED). The objective is to compare the effectiveness of HEART risk score and the risk of having a Major Adverse Cardiovascular Event (MACE) during the following 6 weeks in ‘Acute Non-traumatic Chest Pain’ (ANTCP) patients of an ED in Lleida (Spain). The ANTCP patient cohort was defined using medical data from January 2015 to January 2016. A retrospective study was performed among 300 ANTCP patients. Diagnostic accuracy to predict MACE, HEART risk score effectiveness and patient risk stratification were analysed on the ANTCP Cohort. HEART risk score was conducted on ANTCP Cohort data and patients were stratified as low-risk (n = 116, 38.7%), moderate-risk (n = 164, 54.7%) and high-risk (n = 20, 6.7%); differently from the assessment performed by 'Current Emergency Department Guidelines’ (CEDG) on the same patients: low risk and discharge (n = 56, 18.7%), medium risk and need of complementary tests (n = 137, 45.7%) and high risk and hospital admission (n = 107, 35.7%).The incidence of MACE was 2.5%, 20.7% and 100% in low, moderate and high-risk, respectively. Discrimination and accuracy indexes were moderate (AUC = 0.73, 95% confidence interval: 0.67–0.80). Clustering moderate-high risk groups by MACE incidence showed an 89.5% of sensitivity. Data obtained from this study suggests that HEART risk score stratified better ‘acute non-traumatic chest pain’ (ANTCP) patients in an Emergency Department (ED) compared with ‘Current Emergency Department Guidelines’ (CEDG) at the Hospital Universitari Arnau de Vilanova (HUAV). HEART score would reduce the number of subsequent consultations, unnecessary admissions and complementary tests. Trial registration: Retrospectively registered.
format	article
author	Iris Nathalie San Román Arispe Josep Ramón Marsal Mora Oriol Yuguero Torres Marta Ortega Bravo
author_facet	Iris Nathalie San Román Arispe Josep Ramón Marsal Mora Oriol Yuguero Torres Marta Ortega Bravo
author_sort	Iris Nathalie San Román Arispe
title	A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
title_short	A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
title_full	A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
title_fullStr	A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
title_full_unstemmed	A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain
title_sort	retrospective heart risk score comparation of acute non-traumatic chest pain patients in an emergency department in spain
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6db9809c9d4f4b20acd553aa74a74961
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A retrospective HEART risk score comparation of acute non-traumatic chest pain patients in an emergency department in Spain

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