Evidence map›Paper›PMID 33926275›Full record

Observational studyThe Journal of international medical research2021

Role of HEART score in evaluating clinical outcomes among emergency department patients with different ethnicities.

Stefan H Meyering, Chet D Schrader, Darren Kumar, Yuan Zhou, Naomi Alanis, Sajid Shaikh, Radhika Cheeti, Rebecca Smiley, Chukwuagozie Iloma, Hao Wang

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Journal of international medical research, 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
0.9field-weighted citation impact, top 24% 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, 8 citations in OpenAlex.

  1. Article
  2. Observational
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 2 institutions in 1 country.

Stefan H MeyeringDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Chet D SchraderDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Darren KumarDepartment of Cardiology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Yuan ZhouDepartment of Industrial, Manufacturing, and Systems Engineering, The University of Texas at Arlington, 701 S. Nedderman Dr., Arlington, TX, USA.
Naomi AlanisDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.ORCID https://orcid.org/0000-0003-2200-315X
Sajid ShaikhDepartment of Information Technology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Radhika CheetiDepartment of Information Technology, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Rebecca SmileyDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Chukwuagozie IlomaDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.
Hao WangDepartment of Emergency Medicine, JPS Health Network, 1500 S. Main St., Fort Worth, TX, USA.ORCID https://orcid.org/0000-0002-5105-0951
JPS Health Network · USThe University of Texas at Arlington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Chest PainEmergency Service, HospitalHumansPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk Factorscardiac imaging testclinical outcomeemergency departmentethnicityHEART scorehospital admissionpatient population

Identifiers

PMID33926275
PMCPMC8113935
OpenAlexW3158422487

What OpenQuestion holds

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Registered trials

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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.