The rapid emergency medical score (REMS) using a cutoff of 17 identified acute coronary syndrome with 81.6% sensitivity, 90.05% specificity, 66.67% PPV, and 95.26% NPV.
Cross-Sectional (n=250)
No
Does the rapid emergency medical score (REMS) accurately predict acute coronary syndrome in patients presenting with acute chest pain?
The rapid emergency medical score (REMS) is a valid tool with high specificity and negative predictive value for risk-stratifying acute coronary syndrome in emergency department patients with chest pain.
Effect estimate: Sensitivity 81.6%, specificity 90.05%
OBJECTIVES: To assess the diagnostic validity of the rapid emergency medical score (REMS) for the risk stratification of acute coronary syndrome (ACS) from non-cardiogenic chest pain. Methods: An observational cross-sectional study was carried out among patients presenting with chest pain to the Emergency Department of Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia, for 6 months from January to June 2016. All patients, included through non-probability convenience sampling, were assessed using standard protocols for the physiological parameters of the REMS, and ACS was confirmed through electrocardiography, cardiac enzyme testing, and angiography (if needed). Data were analyzed using Statistical Package for Social Sciences software version 15 (SPSS Inc, Chicago, IL, USA). The validity of REMS was determined using a cutoff value of 17. Results: In total, 176 (70.4%) of patients were men with a mean age of 49±8.5 years. The mean REM score of the patients was 9.3±4.5, and a sensitivity of 81.6%, specificity of 90.05%, positive predictive value of 66.67%, and a negative predictive value of 95.26% were obtained. Conclusion: Rapid emergency medical score is a simple and fairly valid tool that may be used for diagnosis of ACS with limited resources in emergency medicine.
Mehmood et al. (Tue,) conducted a cross-sectional in Acute chest pain (n=250). Rapid emergency medical score (REMS) vs. Standard diagnostic protocols (ECG, cardiac enzymes, angiography) was evaluated on Diagnosis of acute coronary syndrome (Sensitivity 81.6%, specificity 90.05%). The rapid emergency medical score (REMS) using a cutoff of 17 identified acute coronary syndrome with 81.6% sensitivity, 90.05% specificity, 66.67% PPV, and 95.26% NPV.