Why the study?
Does the 2-hour accelerated diagnostic protocol (ADAPT) accurately identify low-risk ED patients with suspected ACS for early discharge?
Population
1,140 U.S. emergency department patients at least 30 years old with symptoms suggestive of acute coronary…
Design
Cohort
Follow-up
30 days
Authors
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May warrant caution for early discharge in U.S. EDs; challenges prior Asia-Pacific validation and leaves open need for local recalibration.
Does the 2-hour accelerated diagnostic protocol (ADAPT) accurately identify low-risk ED patients with suspected ACS for early discharge?
The ADAPT strategy demonstrated a lower sensitivity (83.9%) for 30-day MACE in a U.S. cohort compared to previous Asia-Pacific studies, suggesting caution in its application for early discharge.
Mahler et al. (2015) studied this question.
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