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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463040/ https://www.ncbi.nlm.nih.gov/pubmed/37649692 http://dx.doi.org/10.3389/ijph.2023.1606115 |
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author | Sattayaraksa, Attakowit Ananchaisarp, Thareerat Vichitkunakorn, Polathep Chichareon, Ply Tantarattanapong, Siriwimon |
author_facet | Sattayaraksa, Attakowit Ananchaisarp, Thareerat Vichitkunakorn, Polathep Chichareon, Ply Tantarattanapong, Siriwimon |
author_sort | Sattayaraksa, Attakowit |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10463040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104630402023-08-30 Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study Sattayaraksa, Attakowit Ananchaisarp, Thareerat Vichitkunakorn, Polathep Chichareon, Ply Tantarattanapong, Siriwimon Int J Public Health Public Health Archive 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. Frontiers Media S.A. 2023-08-15 /pmc/articles/PMC10463040/ /pubmed/37649692 http://dx.doi.org/10.3389/ijph.2023.1606115 Text en Copyright © 2023 Sattayaraksa, Ananchaisarp, Vichitkunakorn, Chichareon and Tantarattanapong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Archive Sattayaraksa, Attakowit Ananchaisarp, Thareerat Vichitkunakorn, Polathep Chichareon, Ply Tantarattanapong, Siriwimon Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title | Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title_full | Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title_fullStr | Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title_full_unstemmed | Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title_short | Diagnostic Performance of a Mnemonic for Warning Symptoms in Predicting Acute Coronary Syndrome Diagnosis: A Retrospective Cross-Sectional Study |
title_sort | diagnostic performance of a mnemonic for warning symptoms in predicting acute coronary syndrome diagnosis: a retrospective cross-sectional study |
topic | Public Health Archive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463040/ https://www.ncbi.nlm.nih.gov/pubmed/37649692 http://dx.doi.org/10.3389/ijph.2023.1606115 |
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