Key result
Higher GRACE risk scores calculated by emergency department cardiology nurse specialists were significantly associated with increased rates of ACS, longer hospital stays, and death at 31-44 months.
Why the study?
Does systematic application of the GRACE risk-score by cardiology nurse specialists predict long-term outcome in unselected patients with chest pain?
Cohort (n=504)
Does systematic application of the GRACE risk-score by cardiology nurse specialists predict long-term outcome in unselected patients with chest pain?
The GRACE risk score applied by cardiology nurse specialists in the emergency department effectively stratifies long-term risk in unselected patients with chest pain.
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Supports ED nurse-led GRACE scoring for long-term chest pain risk stratification; hypothesis-generating, prospective trials needed before practice change.
McLean et al. (2010) conducted a cohort in Suspected cardiac chest pain (n=504). GRACE risk score vs. Low and moderate risk GRACE scores was evaluated on Confirmation of ACS, length of hospital stay, inpatient cardiac catheterization, and death at follow-up. Higher GRACE risk scores calculated by emergency department cardiology nurse specialists were significantly associated with increased rates of ACS, longer hospital stays, and death at 31-44 months.
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