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What is the distribution of Aortic Dissection Detection Risk Score in an undifferentiated emergency department chest pain population?
Author(s) -
Rawicki Amiel J,
Klim Sharon,
Kelly AnneMaree
Publication year - 2020
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13603
Subject(s) - medicine , aortic dissection , chest pain , emergency department , observational study , dissection (medical) , radiology , prospective cohort study , population , cardiology , aorta , psychiatry , environmental health
Objective To determine the distribution of Aortic Dissection Detection Risk Score (ADDRS) in undifferentiated chest pain patients. Methods Prospective observational study of adult patients presenting to the ED with non‐traumatic chest pain. Results Of 139 patients studied, more than 75% of patients has an ADDRS ≥1, mainly because of the report of severe pain. There were no aortic dissections. In patients with non‐specific chest pain, testing driven by the ADDRS protocol would have seen a 280% increase in d ‐dimer testing and 2200% increase in computed tomography aortogram rates. Conclusion Widespread use of the ADDRS and its investigation protocol cannot be supported.