Role of HEART score in evaluating clinical outcomes among emergency department patients with different ethnicities
| Autor: | Radhika Cheeti, Yuan Zhou, Stefan H Meyering, Naomi Alanis, Hao Wang, Chukwuagozie Iloma, Sajid Shaikh, Darren Kumar, Rebecca Smiley, Chet D. Schrader |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Chest Pain
medicine.medical_specialty Medicine (General) emergency department Ethnic group clinical outcome 030204 cardiovascular system & hematology Risk Assessment Biochemistry HEART score 03 medical and health sciences 0302 clinical medicine R5-920 Predictive Value of Tests Risk Factors patient population Humans Medicine Retrospective Studies biology business.industry cardiac imaging test Biochemistry (medical) 030208 emergency & critical care medicine Cell Biology General Medicine Emergency department Troponin hospital admission Patient population Heart score Hospital admission Emergency medicine biology.protein ethnicity Emergency Service Hospital business Retrospective Clinical Research Report |
| Zdroj: | Journal of International Medical Research, Vol 49 (2021) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | ObjectiveWe aimed to examine the role of the HEART (history, EKG, age, risk factors, and troponin) score in the evaluation of six clinical outcomes among three groups of patients in the emergency department (ED).MethodsWe performed a retrospective observational study among three ED patient groups including White, Black, and Hispanic patients. ED providers used the HEART score to assess the need for patient hospital admission and for emergent cardiac imaging tests (CITs). HEART scores were measured using classification accuracy rates. Performance accuracies were measured in terms of HEART score in relation to four clinical outcomes (positive findings of CITs, ED returns, hospital readmissions, and 30-day major adverse cardiac events [MACE]).ResultsA high classification accuracy rate (87%) was found for use of the HEART score to determine hospital admission. HEART scores showed moderate accuracy (area under the receiver operating characteristic curve 0.66–0.78) in predicting results of emergent CITs, 30-day hospital readmissions, and 30-day MACE outcomes.ConclusionsProviders adhered to use of the HEART score to determine hospital admission. The HEART score may be associated with emergent CIT findings, 30-day hospital readmissions, and 30-day MACE outcomes, with no differences among White, Black, and Hispanic patient populations. |
| Databáze: | OpenAIRE |
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