January 12, 2006QJM
Risk stratification in acute coronary syndromes—does the TIMI risk score work in unselected cases?
Why the study?
Does the TIMI risk score improve risk stratification compared to ECG and troponin alone in patients with possible acute coronary syndrome?
Population
869 consecutive patients with a diagnosis of possible acute coronary syndrome attending the acute medical…
Comparison
TIMI risk score calculation vs Risk group assignment based on electrocardiogram…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Supports TIMI for stratification in possible ACS; leaves open prospective validation before practice change.
Structured PICO
Does the TIMI risk score improve risk stratification compared to ECG and troponin alone in patients with possible acute coronary syndrome?
P
Population
869 consecutive patients with a diagnosis of possible acute coronary syndrome (ACS) attending the acute medical receiving unit of a district general hospital
I
Intervention
TIMI risk score calculation
C
Comparator
Risk group assignment based on electrocardiogram (ECG) changes and troponin levels only
O
Outcome
Recurrent myocardial infarction, urgent revascularization, and all-cause mortalityhard clinical
The TIMI risk score is a valid and superior tool for risk stratification in unselected cases with possible ACS compared to ECG and troponin alone.
Cite This Study
Soiza et al. (2006) studied this question.