Medicine and Health Sciences Commons^™

Development And Validation Of The Emergency Department Assessment Of Chest Pain Score And 2h Accelerated Diagnostic Protocol, Martin Than, Dylan Flaws, Sharon Sanders, Jenny Doust, Paul Glasziou, Jeffrey Kline, Sally Aldous, Richard Troughton, Christopher Reid, William Parsonage, Christopher Frampton, Jaimi Greenslade, Joanne Deely, Erik Hess, Amr Sadiq, Rose Singleton, Rosie Shopland, Laura Vercoe, Morgana Woolhouse-Williams, Michael Ardagh, P. Bossuyt, Laura Bannister, Louise Cullen

Jenny Doust

Objective: Risk scores and accelerated diagnostic protocols can identify chest pain patients with low risk of major adverse cardiac event who could be discharged early from the ED, saving time and costs. We aimed to derive and validate a chest pain score and accelerated diagnostic protocol (ADP) that could safely increase the proportion of patients suitable for early discharge. Methods: Logistic regression identified statistical predictors for major adverse cardiac events in a derivation cohort. Statistical coefficients were converted to whole numbers to create a score. Clinician feedback was used to improve the clinical plausibility and the usability of the final …