Evidence map›Paper›PMID 38343728›Full record

ReviewOpen access emergency medicine : OAEM2024

Chest Pain Risk Stratification in the Emergency Department: Current Perspectives.

Zeynep Yukselen, Vidit Majmundar, Mahati Dasari, Pramukh Arun Kumar, Yuvaraj Singh

Abstract readReview
In one paragraph

Review in Open access emergency medicine : OAEM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

5 authors.

Zeynep YukselenDepartment of Internal Medicine, Saint Vincent Hospital, Worcester, MA, 01608, USA.
Vidit MajmundarDepartment of Internal Medicine, Saint Vincent Hospital, Worcester, MA, 01608, USA.
Mahati DasariDepartment of Internal Medicine, Saint Vincent Hospital, Worcester, MA, 01608, USA.ORCID 0000-0003-0578-8944
Pramukh Arun KumarDepartment of Internal Medicine, Saint Vincent Hospital, Worcester, MA, 01608, USA.ORCID 0000-0003-3497-1334
Yuvaraj SinghDivision of Gastroenterology and Hepatology, UMass Chan Medical School, Worcester, MA, 01605, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chest pain is the second leading cause of all emergency department (ED) visits in adults in the United States, with nearly 11 million encounters yearly. While identifying low-risk patients is crucial for early discharge, identifying high-risk patients in ED is vital in timely and appropriate acute coronary syndrome (ACS) management. Traditional methods such as physical examination, cardiac markers, or imaging tests cannot reliably confirm or rule out ACS; they cannot be singularly incorporated to risk stratify patients. Various clinical risk scores have been proposed to address this challenge for risk stratification in patients being evaluated for suspected ACS. The ideal risk score should demonstrate high sensitivity and specificity to accurately differentiate between patients with varying levels of risk, particularly in identifying those at high risk for major adverse cardiovascular events. Simultaneously, an ideal scoring system should also be able to compute information for other non-coronary etiologies of chest pain that require time-sensitive interventions and workups (eg, aortic dissection and pulmonary embolism). In this review, we have assembled major risk scores used for risk stratification in patients with acute chest pain in ED. We have abbreviated their salient features to assist readers in their clinical decision-making.

Indexed as

acute coronary syndromeadverse eventsanginacardiac mortalityED

Identifiers

PMID38343728
PMCPMC10853047

What OpenQuestion holds

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LicenceCC BY-NC
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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.