Chest pain risk assessment in Indigenous and non-Indigenous Australians using HEART Score

Bodapati, Sarath Naidu, Gunnarsson, Ronny, McBride, William John, Stone, Richard, and Sutcliffe, Steven (2016) Chest pain risk assessment in Indigenous and non-Indigenous Australians using HEART Score. Emergency Medicine Australasia, 28 (2). pp. 138-144.

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Abstract

Objective: The objectives of this study were to investigate factors that correlate to cardiac events within 30 days in Indigenous and non-Indigenous Australians who present to ED with chest pain and to describe the predictive ability of the HEART Score in these groups.

Methods: Patients who presented with chest pain between 1 January 2013 and 16 May 2013 in a university hospital were retrospectively enrolled in the study. HEART Scores were retrospectively assigned to participants. The study's end-point was Major Adverse Cardiac Events (MACE) within 30 days.

Results: Participants (678) were enrolled in the study, of which 148 were Indigenous Australian. Twenty-eight percent of Indigenous Australian participants and 19% of non-Indigenous Australian participants were diagnosed with MACE within 30 days. Within the Indigenous Australian participant cohort, 1.6% of those with HEART Scores 0–3, 29% of those with HEART Scores 4–6 and 96% of those with HEART Scores 7–10 were diagnosed with MACE within 30 days. Within the non-Indigenous Australian participant cohort, 0.58% of those with HEART Scores 0–3, 17% of those with HEART Scores 4–6 and 79% of those with HEART Scores 7–10 were diagnosed with MACE within 30 days. The negative predictive value of HEART Scores 0–3 for ruling out MACE within 30 days was 98% for Indigenous participants and 99% for non-Indigenous participants.

Conclusion: The HEART Score is a reliable predictor of patient outcome in both Indigenous and non-Indigenous Australians. Modification of the HEART Score may not be required for use in the Indigenous Australian population who present to the ED with chest pain

Item ID: 44694
Item Type: Article (Research - C1)
ISSN: 1742-6723
Keywords: chest pain; emergency; heart score; Indigenous Australian; risk stratification
Funders: James Cook University (JCU)
Date Deposited: 21 Jul 2016 02:31
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
92 HEALTH > 9203 Indigenous Health > 920301 Aboriginal and Torres Strait Islander Health - Determinants of Health @ 50%
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