Why the study?
Does the Manchester Acute Coronary Syndromes (MACS) decision rule accurately predict 30-day MACE to identify ED patients with suspected ACS suitable for immediate discharge?
Population
782 consecutive emergency department patients ≥18 years with suspected acute coronary syndromes (ACS)
Design
Cohort
Follow-up
30 days
Authors
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MACS rule supports early discharge after single troponin in low-risk ED chest pain; leaves open whether routine use safely reduces admissions.
Does the Manchester Acute Coronary Syndromes (MACS) decision rule accurately predict 30-day MACE to identify ED patients with suspected ACS suitable for immediate discharge?
The MACS decision rule safely and accurately identifies a significant proportion of ED patients with suspected ACS who are suitable for immediate discharge after a single blood draw.
Carlton et al. (2016) studied this question.
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