دورية أكاديمية
أعرض في EDS

Assessment and Application of the Hear Score in Remote Emergency Medicine Outposts in Bosnia and Herzegovina.

التفاصيل البيبلوغرافية
العنوان: Assessment and Application of the Hear Score in Remote Emergency Medicine Outposts in Bosnia and Herzegovina.
المؤلفون: Šljivo A; Clinical Center of University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina., Lukić N; University Clinical Center of the Republic of Srpska, 78000 Banja Luka, Bosnia and Herzegovina., Altic A; Dom Zdravlja Bihac, 77000 Bihac, Bosnia and Herzegovina., Tomić S; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia., Abdulkhaliq A; Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, 4000348 Cluj-Napoca, Romania., Reiter L; Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, 4000348 Cluj-Napoca, Romania., Bota DM; Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, 4000348 Cluj-Napoca, Romania., Mahendran E; Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, 4000348 Cluj-Napoca, Romania., Natour W; Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, 4000348 Cluj-Napoca, Romania., Gavrankapetanović F; Clinical Center of University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina., Kapisazović E; Clinical Center of University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina., Duljević H; General Hospital Abdulah Nakaš, 71000 Sarajevo, Bosnia and Herzegovina., Lekić L; Faculty of Health Studies, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina., Radoičić D; Institute for Cardiovascular Disease Dedinje, 11000 Belgrade, Serbia., Tomić SD; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
المصدر: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Apr 19; Vol. 60 (4). Date of Electronic Publication: 2024 Apr 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga
مواضيع طبية MeSH: Acute Coronary Syndrome*/diagnosis, Humans ; Bosnia and Herzegovina/epidemiology ; Female ; Male ; Middle Aged ; Aged ; Retrospective Studies ; Chest Pain/diagnosis ; Chest Pain/etiology ; Prospective Studies ; Adult ; Follow-Up Studies ; Risk Assessment/methods ; Emergency Service, Hospital/statistics & numerical data ; Emergency Medicine/methods ; Myocardial Infarction/diagnosis
مستخلص: Background and Objectives . In emergency departments, chest pain is a common concern, highlighting the critical importance of distinguishing between acute coronary syndrome and other potential causes. Our research aimed to introduce and implement the HEAR score, specifically, in remote emergency outposts in Bosnia and Herzegovina. Materials and Methods. This follow-up study conducted a retrospective analysis of a prospective cohort consisting of patients who were admitted to the remote emergency medicine outposts in Canton Sarajevo and Zenica from 1 November to 31 December 2023. Results . This study comprised 103 (12.9%) patients with low-risk HEAR scores and 338 (83.8%) with high-risk HEAR scores, primarily female (221, 56.9%), with a mean age of 63.5 ± 11.2). Patients with low-risk HEAR scores were significantly younger (50.5 ± 15.6 vs. 65.9 ± 12.1), had fewer smokers ( p < 0.05), and exhibited a lower incidence of cardiovascular risk factors compared to those with high-risk HEAR scores. Low-risk HEAR score for prediction of AMI had a sensitivity of 97.1% (95% CI 89.9-99.6%); specificity of 27.3% (95% CI 22.8-32.1%); PPV of 19.82% (95% CI 18.67-21.03%), and NPV of 98.08% (95% CI 92.80-99.51%). Within 30 days of the admission to the emergency department outpost, out of all 441 patients, 100 (22.7%) were diagnosed with MACE, with AMI 69 (15.6%), 3 deaths (0.7%), 6 (1.4%) had a CABG, and 22 (4.9%) underwent PCI. A low-risk HEAR score had a sensitivity of 97.0% (95% CI 91.7-99.4%) and specificity of 27.3% (95% CI 22.8-32.1%); PPV of 25.5% (95% CI 25.59-28.37%); NPV of 97.14% (95% CI 91.68-99.06%) for 30-day MACE. Conclusions . In conclusion, the outcomes of this study align with existing research, underscoring the effectiveness of the HEAR score in risk stratification for patients with chest pain. In practical terms, the implementation of the HEAR score in clinical decision-making processes holds significant promise.
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فهرسة مساهمة: Keywords: HEAR score; angina pectoris; emergency department; myocardial infarction; risk score
تواريخ الأحداث: Date Created: 20240427 Date Completed: 20240427 Latest Revision: 20240429
رمز التحديث: 20240429
مُعرف محوري في PubMed: PMC11052023
DOI: 10.3390/medicina60040657
PMID: 38674303
قاعدة البيانات: MEDLINE
الوصف
تدمد:1648-9144
DOI:10.3390/medicina60040657