Key result
Formal diagnostic criteria and medical record criteria disagreed on the diagnosis of acute coronary syndrome in 33% (95% CI 23-43%) of emergency department patients with possible ACS.
Why the study?
Is there agreement between formal diagnostic criteria and medical record criteria for the diagnosis of acute coronary syndrome in patients evaluated in the emergency department?
Population
375 subjects undergoing an emergency department evaluation for potential acute coronary symptoms
Comparison
Diagnosis of acute coronary syndrome using… vs Diagnosis of acute coronary syndrome using…
Design
Cross-sectional, Two blinded observers adjudicated discordant cases
Authors
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Disagreement between criteria may cause inconsistent ACS diagnoses in the ED; leaves open the need for standardized approaches in prospective research.
Observational (n=375)
No
Is there agreement between formal diagnostic criteria and medical record criteria for the diagnosis of acute coronary syndrome in patients evaluated in the emergency department?
There is substantial disagreement between formal diagnostic criteria and medical record diagnoses for acute coronary syndrome in the emergency department, affecting nearly one-third of possible cases.
John T. Nagurney (2005) conducted an observational in Acute Coronary Syndrome (n=375). Formal diagnostic criteria vs. Medical record criteria was evaluated on Agreement between formal and medical record criteria for the diagnosis of acute coronary syndrome (95% CI 23% to 43%). Formal diagnostic criteria and medical record criteria disagreed on the diagnosis of acute coronary syndrome in 33% (95% CI 23-43%) of emergency department patients with possible ACS.
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