Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightAfter validation by other studies,we would suggest modifying the HEART score by including the VAS item.
📌 3 Maddede Bu Makale
Abstract
Objective: The most important problem for emergency physicians in patients presenting with chest pain isdeciding whether to discharge the patient or not. Therefore, many scoring systems have been developed tohelp with this decision making process. We aim to achieve a modified HEART value by combining the VASvalue with the HEART score.Materials and Methods: Data were collected on age, sex, duration of the symptoms, pain severity using a10-point visual analog scale (VAS), and the presence of a major adverse cardiac event (MACE). The HEARTscore was calculated and modified (mHEART) by adding 1 point to the total HEART score for a VAS scoreof ≥7.Results: During the study period, 4781 patients were admitted, and 293 participants were analyzed. Of thepatients, 34(11.6%) experienced MACE within a month after the encounter. The mean VAS scores were5.65±1.44. However, 77(26.3%) patients had VAS scores ≥7. Taking 3 as the threshold, 42(14.3%) patientshad HEART scores of 4 and above, where 47(16.0%) had mHEART scores ≥4. The mHEART scoring demonstrated better test indicators than the HEART score. According to the HEART score, 6(2.3%) of the 251patients predicted as negative would develop MACE, but this number decreased to 1(0.4%) in 246 using themHEART score.Conclusion: Although the HEART score performs reasonably well in discriminating patients who are MACEnegative, it is possible to further improve the score by adding the VAS item. After validation by other studies,we would suggest modifying the HEART score by including the VAS item.