External Validation of a Chest Pain Rule-Out Score

The emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP) proved to be quite sensitive in a Canadian cohort.

The emergency department (ED) assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP) was developed and validated in an Australian cohort in 2014 (Emerg Med Australas 2014; 26:34). This tool uses age, sex, patient history, and presenting signs and symptoms, in addition to electrocardiogram (ECG) findings and cardiac troponin (cTn) levels at 0 and 2 hours after arrival to risk stratify patients for their likelihood of a having a 30-day major adverse cardiac event. Patients with a higher score (score range, −10 to 34) have a higher risk. An EDACS <16 in a stable patient with a nonischemic ECG and nonelevated serial cTn is considered low risk.

Researchers applied the score in a retrospective cohort of 763 chest pain patients w…

Reviewing Author

Jennifer L. Wiler, MD, MBA, FACEP

Disclosures

Leadership Positions in Professional SocietiesColorado Medical Society (Member, Board of Directors)

Jennifer L. Wiler, MD, MBA, FACEP

Disclosures

Leadership Positions in Professional SocietiesColorado Medical Society (Member, Board of Directors)

External Validation of a Chest Pain Rule-Out Score

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Reviewing Author