| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-11-11 |
| タイトル |
|
|
タイトル |
A novel scoring algorithm for chest pain can effectively support the diagnosis of acute coronary syndrome in prehospital settings: a cross-sectional study |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Acute coronary syndrome |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Chest pain |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Emergency medical technicians |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Optimizing patient transport |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Risk assessment |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Iyama, Keita
Sato, Shuntaro
Akashi, Ryohei
Baba, Kensho
Hayakawa, Koichi
Ikeda, Satoshi
Maemura, Koji
Tasaki, Osamu
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Early identification of acute coronary syndrome (ACS) in prehospital settings is crucial for optimal patient outcomes. However, existing risk assessment tools require laboratory data, making them unsuitable for prehospital use. Therefore, emergency medical technicians (EMTs) lack appropriate tools for prehospital ACS assessment and must rely on individual diagnostic skills, despite the importance of reducing prehospital time. To address this issue, a novel scoring system—Nagasaki Prehospital Chest Pain Assessment & Risk Determination (N-CARD)—was developed using only prehospital information and validated for use by EMTs, with the aim of improving patient outcomes and optimizing healthcare resource utilization. Methods: In total, 584 participants with chest pain or suspected cardiac etiology who underwent a prehospital 12-lead electrocardiogram (ECG) between April 2023 and March 2024 were analyzed. The prehospital diagnostic score for ACS, N-CARD score, was developed using logistic regression based on the following variables: age, pain location, pain type, pain duration, coronary risk factors, and 12-lead ECG findings. Modeling was performed separately for high-risk and low-risk groups based on prior coronary artery disease (CAD) history. The model’s performance was internally validated using bootstrap methods. Results: The N-CARD scoring system was developed separately for participants without (N = 433) and with (N = 151) a history of CAD. The score ranged from − 1 to 10 for those without a history of CAD and 0 to 32 for those with a history of CAD. For participants without a history of CAD, scores ≥ 6 suggested ACS (specificity > 90%), whereas scores ≤ 3 suggested non-ACS (sensitivity > 90%), with an optimism-corrected area under the curve (AUC) of 0.90. For participants with a history of CAD, scores ≥ 24 suggested ACS, whereas scores ≤ 6 suggested non-ACS, with an optimism-corrected AUC of 0.69. Conclusions: The N-CARD scoring system, based solely on prehospital information, provides EMTs with an effective tool for assessing ACS risk in prehospital settings, potentially optimizing transport decisions and improving patient outcomes. |
|
言語 |
en |
| 書誌情報 |
en : International Journal of Emergency Medicine
巻 18,
号 1,
p. art. no. 224,
発行日 2025-10-31
|
| 出版者 |
|
|
出版者 |
BioMed Central Ltd |
|
言語 |
en |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1865-1380 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.1186/s12245-025-01019-7 |
| 権利 |
|
|
権利情報 |
© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
|
言語 |
en |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 引用 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
International Journal of Emergency Medicine, 18(1), art. no. 224; 2025 |
|
言語 |
en |
IJEM18_224.pdf (3.3 MB)
