Evidence map›Paper›PMID 35788195›Full record

Observational studyBMC emergency medicine2022

Improving the performance of a triage scale for chest pain patients admitted to emergency departments: combining cardiovascular risk factors and electrocardiogram.

Chiara Casarin, Anne-Sophie Pirot, Charles Gregoire, Laurence Van Der Haert, Patrick Vanden Berghe, Diego Castanares-Zapatero, Melanie Dechamps

Registry-linked trialOpen access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03913767 (Combination of ECG and Cardiovascular Risk Factors Could Increase Diagnostic Performance Of Chest Pain Triage at ED), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

NCT03913767 completednot on this map

Combination of ECG and Cardiovascular Risk Factors Could Increase Diagnostic Performance Of Chest Pain Triage at ED

TypeobservationalSponsorUniversité Catholique de LouvainRan2018 to 2020Enrolled500ConditionsChest Pain
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  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

7 authors at 2 institutions in 1 country.

Chiara CasarinEmergency Department, Saint-Luc University Hospital, Université Catholique de Louvain (UCLouvain), Brussels, Belgium.
Anne-Sophie PirotEmergency Department, Saint-Luc University Hospital, Université Catholique de Louvain (UCLouvain), Brussels, Belgium.
Charles GregoireEmergency Department, Saint-Luc University Hospital, Université Catholique de Louvain (UCLouvain), Brussels, Belgium.
Laurence Van Der HaertCardiovascular Intensive Care Unit, Saint-Luc University Hospital, UCLouvain, Brussels, Belgium.
Patrick Vanden BergheEmergency Department, Saint-Luc University Hospital, Université Catholique de Louvain (UCLouvain), Brussels, Belgium.
Diego Castanares-ZapateroIntensive Care Unit, Saint-Luc University Hospital, UCLouvain, Brussels, Belgium.
Melanie DechampsCardiovascular Intensive Care Unit, Saint-Luc University Hospital, UCLouvain, Brussels, Belgium. melanie.dechamps@saintluc.uclouvain.be.
UCLouvain · BECliniques Universitaires Saint-Luc · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe triage of patients presenting with chest pain on admission to the emergency department uses scales based on patient clinical presentation or an electrocardiogram (ECG). These scales have different sensitivity and specificity. Although a good sensitivity allows for the prompt identification of high-risk patients, specificity prevent ED overcrowding. Moreover, ECG at triage avoids missing ST elevation myocardial infarction, which requires urgent revascularization. Our study therefore aimed to investigate whether a scale combining ECG and cardiovascular risk factors (CVRF) improves the diagnostic performance of ED chest pain triage scale. METHODS AND

resultsIn this prospective single-center observational study involving 505 patients, the standard ECG-based FRENCH scale was compared to a scale combining the ECG-based FRENCH scale and the patients CVRF. The new scale was called the "modified" FRENCH. The accuracy of patient CVRF collection was evaluated by comparing the results of triage nurses and ED physicians. Compared with the standard FRENCH scale, the modified FRENCH scale had an increased sensitivity (61% versus 75%) but a decrease in specificity (76% versus 64%) resulting in a similar diagnostic performance. Using CVRF collected by the ED physicians, the modified FRENCH scale had a sensitivity of 87% and a specificity of 56% with a significant improvement in his diagnostic performance compared with standard FRENCH scales. This improvement can be explained by an accurate collection of the CVRF by physicians compared with nurses, as suggested by the weak to moderate correlation between their respective data collection.

conclusionIn conclusion, combining ECG and accurately collected cardiovascular risks factor improves the diagnostic performance of the ECG based chest pain triage in the ED.

trial registrationTrial registration number: NCT03913767 .

Indexed as

Cardiovascular DiseasesMyocardial InfarctionChest PainElectrocardiographyEmergency Service, HospitalHeart Disease Risk FactorsHumansProspective StudiesRisk FactorsTriageAcute coronary syndromeCardiovascular risk factorsChest painEmergency triage system

Identifiers

PMID35788195
PMCPMC9251936
OpenAlexW4283794635

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.