40 Prospective Evaluation of the Use of the Thrombolysis in Myocardial Infarction (TIMI) Score as a Risk Stratification Tool for Chest Pain Patients Admitted to an Emergency Department Observation Unit

2011 ◽  
Vol 58 (4) ◽  
pp. S191
Author(s):  
J. Holly ◽  
D. Hamilton ◽  
M. Mallin ◽  
K. Black ◽  
R. Robbins ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Chest Pain ◽  
Risk Stratification ◽  
Prospective Evaluation ◽  
Observation Unit ◽  
Timi Score ◽  
Risk Stratification Tool ◽  
Pain Patients

Prospective evaluation of the use of the thrombolysis in myocardial infarction score as a risk stratification tool for chest pain patients admitted to an ED observation unit

2013 ◽  
Vol 31 (1) ◽  
pp. 185-189 ◽  
Author(s):  
Jessica Holly ◽  
Matthew Fuller ◽  
David Hamilton ◽  
Michael Mallin ◽  
Kathryn Black ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Risk Stratification ◽  
Prospective Evaluation ◽  
Observation Unit ◽  
Risk Stratification Tool ◽  
Pain Patients

Prospective Evaluation of a Simplified Risk Stratification Tool for Patients With Chest Pain in an Emergency Department Observation Unit

2013 ◽  
Vol 12 (3) ◽  
pp. 132-136 ◽  
Author(s):  
Matthew Fuller ◽  
David Hamilton ◽  
Jessica Holly ◽  
Michael Mallin ◽  
Thomas Rayner ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Risk Stratification ◽  
Prospective Evaluation ◽  
Observation Unit ◽  
Risk Stratification Tool

Risk stratification for prediction of adverse coronary events in emergency department chest pain patients with a machine learning score compared with the TIMI score

2014 ◽  
Vol 177 (3) ◽  
pp. 1095-1097 ◽  
Author(s):  
Nan Liu ◽  
Marcus Aik Beng Lee ◽  
Andrew Fu Wah Ho ◽  
Benjamin Haaland ◽  
Stephanie Fook-Chong ◽  
...  
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Chest Pain ◽  
Risk Stratification ◽  
Timi Score ◽  
Coronary Events ◽  
Learning Score ◽  
Pain Patients

41 Prospective Evaluation of Outcomes in Geriatric Chest Pain Patients Admitted to an Emergency Department Observation Unit

2011 ◽  
Vol 58 (4) ◽  
pp. S191
Author(s):  
E. Johnson ◽  
J. Holly ◽  
D. Hamilton ◽  
K. Black ◽  
R. Robbins ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Prospective Evaluation ◽  
Observation Unit ◽  
Pain Patients

Prospective Evaluation of the Treatment of Intermediate-risk Chest Pain Patients in an Emergency Department Observation Unit

2012 ◽  
Vol 11 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Jessica Holly ◽  
David Hamilton ◽  
Joseph Bledsoe ◽  
Kathryn Black ◽  
Riann Robbins ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Intermediate Risk ◽  
Prospective Evaluation ◽  
Observation Unit ◽  
Pain Patients

Modified TIMI risk score cannot be used to identify low-risk chest pain in the emergency department: a multicentre validation study

2013 ◽  
Vol 31 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Stephen P J Macdonald ◽  
Yusuf Nagree ◽  
Daniel M Fatovich ◽  
Simon G A Brown
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Chest Pain ◽  
Risk Stratification ◽  
Sensitivity And Specificity ◽  
Risk Score ◽  
Composite Outcome ◽  
Coronary Syndrome ◽  
Timi Score ◽  
Timi Risk Score

AimThe Thrombolysis in Myocardial Infarction (TIMI) risk score (range 0–7), used for emergency department (ED) risk stratification of patients with suspected acute coronary syndrome (ACS), underestimates risk associated with ECG changes or cardiac troponin elevation. A modified TIMI score (mTIMI, range 0–10), which gives increased weighting to these variables, has been proposed. We aimed to evaluate the performance of the mTIMI score in ED patients with suspected ACS.MethodsA multicentre prospective observational study enrolled patients undergoing assessment for possible ACS. TIMI and mTIMI scores were calculated. The study outcome was a composite of all-cause death, myocardial infarction or coronary revascularisation within 30 days.ResultsOf the 1666 patients, 219 (13%) reached the study outcome. Area under the receiver operating characteristic curve for the composite outcome was 0.80 (0.76 to 0.83) for the mTIMI score compared with 0.71 (0.67 to 0.74) for the standard TIMI score, p<0.001, but there was no significant difference for death or revascularisation outcomes. Sensitivity and specificity for the composite outcome were 0.96 (0.92 to 0.98) and 0.23 (0.20 to 0.26), respectively, at score 0 for TIMI and mTIMI. At score <2, sensitivity and specificity were 0.82 (0.77 to 0.87) and 0.53 (0.51 to 0.56) for mTIMI, and 0.74 (0.68 to 0.79) and 0.54 (0.51 to 0.56) for standard TIMI, respectively.ConclusionsmTIMI score performs better than standard TIMI score for ED risk stratification of chest pain, but neither is sufficiently sensitive at scores >0 to allow safe and early discharge without further investigation or follow-up. Observed differences in performance may be due to incorporation bias.

Identification of Chest Pain Patients Appropriate for an Emergency Department Observation Unit

2001 ◽  
Vol 19 (1) ◽  
pp. 35-66 ◽  
Author(s):  
Keith Wilkinson ◽  
Harry Severance
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Observation Unit ◽  
Pain Patients

scholarly journals A 90-second magnetocardiogram using a novel analysis system to assess for coronary artery stenosis in Emergency department observation unit chest pain patients

2020 ◽  
Vol 26 ◽  
pp. 100466
Author(s):  
Margarita E. Pena ◽  
Claire L. Pearson ◽  
Marc P. Goulet ◽  
Viviane M. Kazan ◽  
Alexandra L. DeRita ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Observation Unit ◽  
Analysis System ◽  
Pain Patients

192: The Utility of HbA1C Screening in Low Risk Chest Pain Patients in the Emergency Department Observation Unit

2009 ◽  
Vol 54 (3) ◽  
pp. S59
Author(s):  
H. Wiederhold ◽  
R. Swor ◽  
D. Robinson ◽  
C.L. Clark
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Low Risk ◽  
Observation Unit ◽  
Pain Patients

Can low-risk chest pain patients with two or more cardiac risk factors be safely admitted to an emergency department observation unit?

2004 ◽  
Vol 44 (4) ◽  
pp. S4
Author(s):  
M.K. Pearlman ◽  
D.B. Stone ◽  
P. Tanabe ◽  
S. Frankl ◽  
D. Zull
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Chest Pain ◽  
Cardiac Risk ◽  
Low Risk ◽  
Observation Unit ◽  
Cardiac Risk Factors ◽  
Pain Patients
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