Role of HEART Score in Evaluating Clinical Outcomes Among Emergency Department Patients with Different Ethnicities

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Apr 30

PMID 33926275

Citations 1

Authors

Stefan H Meyering

Chet D Schrader

Darren Kumar

Yuan Zhou

Naomi Alanis

Sajid Shaikh

Radhika Cheeti

Rebecca Smiley

Chukwuagozie Iloma

Hao Wang

Affiliations

Soon will be listed here.

Abstract

Objective: We aimed to examine the role of the HEART (history, EKG, age, risk factors, and troponin) score in the evaluation of six clinical outcomes among three groups of patients in the emergency department (ED).

Methods: We performed a retrospective observational study among three ED patient groups including White, Black, and Hispanic patients. ED providers used the HEART score to assess the need for patient hospital admission and for emergent cardiac imaging tests (CITs). HEART scores were measured using classification accuracy rates. Performance accuracies were measured in terms of HEART score in relation to four clinical outcomes (positive findings of CITs, ED returns, hospital readmissions, and 30-day major adverse cardiac events [MACE]).

Results: A high classification accuracy rate (87%) was found for use of the HEART score to determine hospital admission. HEART scores showed moderate accuracy (area under the receiver operating characteristic curve 0.66-0.78) in predicting results of emergent CITs, 30-day hospital readmissions, and 30-day MACE outcomes.

Conclusions: Providers adhered to use of the HEART score to determine hospital admission. The HEART score may be associated with emergent CIT findings, 30-day hospital readmissions, and 30-day MACE outcomes, with no differences among White, Black, and Hispanic patient populations.

Citing Articles

Using HEART2 score to risk stratify chest pain patients in the Emergency Department: an observational study.

Schrader C, Kumar D, Zhou Y, Meyering S, Saltarelli N, Alanis N BMC Cardiovasc Disord. 2022; 22(1):79.

PMID: 35246065 PMC: 8896146. DOI: 10.1186/s12872-022-02528-6.

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