Pre-hospital evaluation of chest pain patients using the modified HEART-score: rationale and design

被引：0
|
作者：
Azzahhafi, Jaouad [1 ]
Yin, Chan Pin [1 ]
Epping, Mirjam [2 ]
Bofarid, Hajar [1 ]
Rikken, Sem A. O. F. [1 ]
Verhagen, Thijs [3 ,4 ]
Boomars, Rene [3 ]
Radstok, Anja [3 ]
Houtgraaf, Jaco [2 ]
Bikker, Angela [5 ,6 ]
ten Berg, Jurrien M. [1 ,7 ]
机构：
[1] St Antonius Hosp, Dept Cardiol, NL-3435 CM Nieuwegein, Netherlands
[2] Diakonessenhuis Hosp, Dept Cardiol, NL-3582 KE Utrecht, Netherlands
[3] Regionale Ambulance Voorziening Utrecht, NL-3723 BC Utrecht, Netherlands
[4] St Antonius Hosp, Dept Emergency Med, Nieuwegein, Netherlands
[5] Saltro Unilabs, Dept Clin Chem, NL-3565 CE Utrecht, Netherlands
[6] St Antonius Hosp, Dept Clin Chem, Nieuwegein, Netherlands
[7] Univ Med Ctr Maastricht, Dept Cardiol, NL-6229 HX Maastricht, Netherlands
来源：
FUTURE CARDIOLOGY | 2024年 / 20卷 / 5-6期
关键词：
cardiac troponin; HEART-score; high-sensitive cardiac troponin; NSTE-ACS; point-of-care testing; pre-hospital; POINT-OF-CARE; ANALYTICAL PERFORMANCE; CLINICAL VALIDATION; EMERGENCY-ROOM; CLASSIFICATION; ALGORITHM; ASSAY;
D O I：
10.1080/14796678.2024.2356995
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: This study assesses how ambulance paramedics using the modified HEART-score with a point-of-care cardiac troponin (cTn) compare to the emergency physicians using the modified HEART-score with a high-sensitive cTn (hs-cTn) in patients with suspected non-ST-elevation acute coronary syndrome (NSTE-ACS), focusing on interobserver agreement and diagnostic performance. Methods: In this prospective multicenter cohort, we compare four cTn testing strategies (serial point of care and hs-cTn cTn measurement) with and without the HEART-score. Outcomes include the HEART-score's interobserver agreement, NSTE-ACS at discharge, major adverse cardiovascular events (MACE) after 30 days, and diagnostic accuracy of the different strategies. Conclusion: The POPular HEART study aims to improve NSTE-ACS diagnostic pathways, promoting pre-hospital detection and ruling out of NSTE-ACS to minimize unnecessary hospitalizations and associated costs. Clinical Trial Registration: NCT04851418 (ClinicalTrials.gov)
引用
收藏
页码：241 / 250
页数：10
相关论文
共 50 条
  • [1] Clinical utility of telecardiology in the pre-hospital evaluation of chest pain patients
    Amodio, G.
    Martinelli, D.
    Brunetti, N. D.
    Germinario, C.
    Antonelli, G.
    EUROPEAN HEART JOURNAL, 2007, 28 : 659 - 659
  • [2] Fast assessment and management of chest pain without ST-elevation in the pre-hospital gateway: Rationale and design
    Ishak, Maycel
    Ali, Danish
    Fokkert, Marion J.
    Slingerland, Robbert J.
    Dikkeschei, Bert
    Tolsma, Rudolf T.
    Lichtveld, Rob A.
    Bruins, Wendy
    Boomars, Rene
    Bruheim, Kim
    van Eenennaam, Fred
    Timmers, Leo
    Voskuil, Michiel
    Doevendans, Pieter A.
    Mosterd, Arend
    Hoes, Arno W.
    ten Berg, Jurrin M.
    van 't Hof, Arnoud W. J.
    EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE, 2015, 4 (02) : 129 - 136
  • [3] Clinical decision rules in the pre-hospital triage of patients with chest pain
    Aarts, Goaris W. A.
    Damman, Peter
    NETHERLANDS HEART JOURNAL, 2023, 31 (04) : 131 - 132
  • [4] Clinical decision rules in the pre-hospital triage of patients with chest pain
    Goaris W. A. Aarts
    Peter Damman
    Netherlands Heart Journal, 2023, 31 : 131 - 132
  • [5] Pre-hospital delay in patients with ischemic chest pain in the province of Alicante
    Preza, JL
    Hoyos, SP
    MEDICINA CLINICA, 1996, 107 (03): : 81 - 85
  • [6] HEART-score can be simplified without loss of discriminatory power in patients with chest pain - Introducing the HET-score
    Lofmark, Henrik
    Muhrbeck, Josephine
    Eggers, Kai M.
    Linder, Rickard
    Ljung, Lina
    Martinsson, Arne
    Melki, Dina
    Sarkar, Nondita
    Svensson, Per
    Lindahl, Bertil
    Jernberg, Tomas
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2023, 74 : 104 - 111
  • [7] A simplified HEART-score improves discrimination for myocardial infarction in chest pain patients presenting to the emergency department
    Lofmark, H.
    Ljung, L.
    Eggers, K.
    Frick, M.
    Linder, R.
    Lindahl, B.
    Martinsson, A.
    Melki, D.
    Sarkar, N.
    Svensson, P.
    Winter, R.
    Jernberg, T.
    EUROPEAN HEART JOURNAL, 2018, 39 : 764 - 764
  • [8] Evaluation and treatment of pain in the pre-hospital setting. A comparison between patients with a hip injury, chest pain and abdominal pain
    Magnusson, Carl
    Carlstrom, Marie
    Lidman, Nathalie
    Herlitz, Johan
    Wennberg, Par
    Axelsson, Christer
    INTERNATIONAL EMERGENCY NURSING, 2021, 56
  • [9] Impact of a public campaign on pre-hospital delay in patients reporting chest pain
    Gaspoz, JM
    Unger, PF
    Urban, P
    Chevrolet, JC
    Rutishauser, W
    Lovis, C
    Goldman, L
    Heliot, C
    Sechaud, L
    Mischler, S
    Waldvogel, FA
    HEART, 1996, 76 (02) : 150 - 155
  • [10] Patients with acute chest pain -: experiences of emergency calls and pre-hospital care
    Forslund, K
    Kihlgren, M
    Östman, I
    Sorlie, V
    JOURNAL OF TELEMEDICINE AND TELECARE, 2005, 11 (07) : 361 - 367
12345