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Application value of evaluation and management of patients with acute chest pain in China score in risk stratification for patients with acute chest pain / 中国医师进修杂志
Chinese Journal of Postgraduates of Medicine ; (36): 221-225, 2022.
Article in Chinese | WPRIM | ID: wpr-931150
ABSTRACT

Objective:

To explore the application value of evaluation and management of patients with acute chest pain in China (EMPACT) score in risk stratification for patients with acute chest pain.

Methods:

According to the methods of prospective cohort study, 548 patients with chest pain in the Affiliated Hospital of Jining Medical University from February to April 2021 were selected. The risk stratification was performed according to EMPACT score. The primary endpoint was the major adverse events (MAE) within 30 d, including death from all causes, acute myocardial infarction (AMI), emergency revascularization, cardiac arrest, cardiogenic shock and other life-threatening situations that need urgent attention. The receiver operating characteristic (ROC) curve was used to evaluate the predictive value of EMPACT score for MAE.

Results:

Among the 548 patients, 75 cases had MAE within 30 d (MAE group), and the incidence of MAE was 13.7%; 473 cases did not occur MAE (non-MAE group). The EMPACT score in MAE group was significantly higher than that in non-MAE group 8 (12, 18) scores vs. 5 (2, 8) scores, and there was statistical difference ( Z = 8.94, P<0.01). Spearman correlation analysis result showed that EMPACT score was positively correlated with MAE ( r = 0.38, P<0.01). ROC curve analysis result showed that the area under the curve of EMPACT score in prediction within 30 d MAE was 0.820 (95% CI 0.770 to 0.871), the cut-off value was 9.5 scores (since all the scoring systems were integers, the cut-off value was 10 scores), the sensitivity was 88.6%, and the specificity was 60.0%.

Conclusions:

The EMPACT score has a good risk stratification capability to achieve safe and effective triage of acute chest pain.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: Chinese Journal: Chinese Journal of Postgraduates of Medicine Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: Chinese Journal: Chinese Journal of Postgraduates of Medicine Year: 2022 Type: Article