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Abstract
Abstract Background The implementation of institutional protocols in the emergency department (ED) for risk stratification in patients with chest pain has been recommended. Objective To assess the sensitivity, specificity and predictive value of an institutional risk stratification protocol for chest pain suggestive of acute coronary syndrome (ACS). Method Cross-sectional study conducted based on the computerized records of patients treated with the use of a chest pain protocol adapted from the Manchester protocol. The level of risk was stratified by applying [...]
Highlights
Chest pain is mentioned as one of the main complaints reported by patients admitted to the Emergency Department (ED)
The computerized records of 1,074 patients screened in a cardiology emergency department (ED) were analyzed using the chest pain protocol
19% were classified as being a high priority and 81% as low priority for receiving care (Table 1)
Summary
In order to meet this demand, a triage scale was created, in these departments, based on the guidelines established by the National Humanization Policy (PNH - Política Nacional de Humanização) and QualiSUS These determinations include the implementation of a patient classification screening and/or triage service in the ED,[2] pursuant to the law published by the Ministry of Health under Ordinance GM/MS No 2048/2002.3. Objective: To assess the sensitivity, specificity and predictive value of an institutional risk stratification protocol for chest pain suggestive of acute coronary syndrome (ACS). Men (54%), with a mean age of 60 ± 15 years, with complaints of chest pain (44%) of moderate intensity (80%) were predominant the study Of these patients, 19% were classified as high priority, while 81% were considered to represent a low priority. Conclusion: The Institutional risk stratification protocol for chest pain suggestive of ACS presented satisfactory specificity and a low degree of sensitivity. (Int J Cardiovasc Sci. 2021; 34(1):67-73) Keywords: Chest Pain; Acute Coronary Syndrome; Risk Factors; Risk Assessment; Sensitivity and Specifity; Emergency Medical Services
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