Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study
Objectives: We aimed to create a mnemonic for acute coronary syndrome (ACS) warning symptoms and determine its diagnostic performance. Methods: This retrospective cross-sectional study included patients visiting the emergency room with symptoms of suspected ACS during 2020–2021. The mnemonic was cre...
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Published in | International journal of public health Vol. 68; p. 1606115 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Frontiers Media S.A
15.08.2023
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Subjects | |
Online Access | Get full text |
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Summary: | Objectives:
We aimed to create a mnemonic for acute coronary syndrome (ACS) warning symptoms and determine its diagnostic performance.
Methods:
This retrospective cross-sectional study included patients visiting the emergency room with symptoms of suspected ACS during 2020–2021. The mnemonic was created using symptoms with an odds ratio (OR) for predicting ACS >1.0. The mnemonic with the highest OR and sensitivity was identified. Sensitivity analysis was performed to test the diagnostic performance of the mnemonic by patient subgroups commonly exhibiting atypical symptoms.
Results:
ACS prevalence was 12.2% (415/3,400 patients). The mnemonic, “RUSH ChesT” [if you experience referred pain (R), unexplained sweating (U), shortness of breath (S), or heart fluttering (H) together with chest pain (C), visit the hospital in a timely (T) manner] had the best OR [7.81 (5.93–10.44)] and sensitivity [0.81 (0.77–0.85)]. This mnemonic had equal sensitivity in men and women, the elderly and adults, smokers and non-smokers, and those with and without diabetes or hypertension.
Conclusion:
The “RUSH ChesT” mnemonic shows good diagnostic performance for patient suspected ACS. It may effectively help people memorize ACS warning symptoms. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 This Original Article is part of the IJPH Special Issue “Public Health and Primary Care, is 1 + 1 = 1?” Lei Hou, Chinese Center for Disease Control and Prevention, China Edited by: Gabriel Gulis, University of Southern Denmark, Denmark Reviewed by: Isidora Vujcic, University of Belgrade, Serbia |
ISSN: | 1661-8564 1661-8556 1661-8564 |
DOI: | 10.3389/ijph.2023.1606115 |