Emergency_department_assessment_of_chest_pain_score v.1
Emergency Department Assessment of Chest Pain Score (EDACS) provides a method to identify patients with a low risk of a major cardiac adverse event
Pain Score (EDACS) provides a method to identify patients with a low risk of a major cardiac adverse event or possible acute coronary syndrom (ACS) to ascertain whether they might be suitable for early discharge.
This score only applies to patients: (1) ≥18 years old with normal vital signs; (2) Chest pain consistent with Acure Coronary Syndrome (ACS); (3) No ongoing chest pain or crescendo angina. There are various variables that register a score, such as Age, Sex, known CAD (Coronary Artery Disease) or 3 or more risk factors and a number of symptoms and signs. There are 2 additional questions that help to stratify the risk between low and not low which adds to the EDAC score and is called the EDACS-ADP score. This score uses the EDACS score and the variables of EKG findings and whether 0hr and 2hr Troponin are negative or not. Low Risk Cohort: EDACS < 16 and If EKG shows no new ischemia and 0h and 2h troponin both negative Recommendation: safe for discharge to early outpatient follow-up investigation (or proceed to earlier inpatient testing). Not Low Risk Cohort: EDACS ≥16 or EKG shows new ischemia 0h or 2h troponin positive Recommendation: Proceed with usual care with further observation and delayed troponin.
Not to be used with patients below 18 years of age or with chest pain not consistent with ACS or if there is ongoing chest pain or crescendo angina.
Ref. 1: Than M, et al. Emerg Med Australas. Development and validation of the Emergency Department Assessment of Chest pain Score and 2 h accelerated diagnostic protocol. 2014 Feb;26(1):34-44. doi: 10.1111/1742-6723.12164.
OBSERVATION.emergency_department_assessment_of_chest_pain_score.v1, OBSERVATION.basic_demographic.v1
