Evidence map›Paper›PMID 33369723›Full record

Observational studyHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2021

The Role of Using HEART Score to Risk Stratify Chest Pain Among Emergency Department High Utilizers.

Chet D Schrader, Stefan H Meyering, Darren Kumar, Naomi Alanis, James P D'Etienne, Sajid Shaikh, Vietvuong Vo, Ankur R Kamaria, Nicole Huettner, Hao Wang

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. The fragility of significant results from randomized controlled trials in esophageal surgeries.Esophagus : official journal of the Japan Esophageal Society · 2023
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Chet D SchraderDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Stefan H MeyeringDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Darren KumarDepartment of Cardiology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Naomi AlanisDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
James P D'EtienneDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Sajid ShaikhDepartment of Information Technology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Vietvuong VoDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Ankur R KamariaDepartment of Cardiology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA.
Nicole HuettnerUniversity of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
Hao WangDepartment of Emergency Medicine, John Peter Smith Health Network, 1500 S. Main St., Fort Worth, TX, 76104, USA. hwang@ies.healthcare.ORCID http://orcid.org/0000-0002-5105-0951
John Peter Smith Hospital · USJPS Health Network · USUniversity of North Texas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The HEART score is used to effectively risk stratify undifferentiated chest pain patients in the Emergency Department (ED). It is unclear whether such risk stratification can be applied among ED high utilizers. We aim to determine the efficacy and safety of using the HEART score to predict 30-day short-term major adverse cardiac events (MACE) in ED high utilizers. We conducted a retrospective, observational study in which ED high utilizers were defined as patients who had four or more ED visits within the past 12 months. ED high utilizers presenting at the study ED with chest pain were enrolled. Patients in which the HEART score was utilized were placed in the HEART group and patients with no HEART scores documented were placed to the usual care group. Hospital admissions and cardiac stress tests performed during the index hospitalizations, and 30-day MACE rates were analyzed and compared between the HEART and usual care groups. From January 1, 2017 to December 31, 2019, a total of 8,315 patient visits from ED high utilizers were enrolled. In the HEART group, 49% of ED visits were admitted with 20% receiving stress tests. A 30-day MACE outcome occurred among 1.4% of visits. In the usual care group, 44% of ED visits were admitted, with only 9% receiving index stress tests and a 1.5% of 30-day MACE occurrence (p=0.727). The study showed that similar short-term MACE outcomes occurred between patients using HEART scores and usual care to risk stratify chest pain among ED high utilizers.

Indexed as

Decision Support TechniquesEmergency Service, HospitalHealth Status IndicatorsPatient Acceptance of Health CareAdultAngina PectorisElectronic Health RecordsFemaleHeart Function TestsHumansMaleMiddle AgedPatient AdmissionPredictive Value of TestsPrognosisRetrospective StudiesChest painEmergency departmentHEARTHigh utilizersUsual care

Identifiers

PMID33369723
OpenAlexW3117153792

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.