The accuracy of The Emergency Severity Index Triage Score in Predicting Cardiac Events among Suspected Acute Coronary Syndrome Patients in The Emergency Department | ||||
Assiut Scientific Nursing Journal | ||||
Article 25, Volume 12, Issue 45 - Serial Number 1, July 2024, Page 297-308 PDF (1.13 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asnj.2024.294726.1833 | ||||
View on SCiNiTO | ||||
Authors | ||||
Shimaa Mohamed Hasballa 1; Mohamed Aboel-Kassem F Abdelmegid 2; Mogedda Mohamed Mehany3 | ||||
1Nursing Specialist at Heart Hospital, Faculty of Nursing Assiut University, Egypt. | ||||
2Professor of Cardiology, Faculty of Medicine, Assiut University, Egypt | ||||
3Professor of Critical Care & Emergency Nursing, Assiut University, Egypt | ||||
Abstract | ||||
(EDs) to prioritize patients based on the severity of their conditions. In the context of suspected acute coronary syndrome (ACS), accurate triage is crucial for timely intervention and optimal patient' outcomes. Aim: To evaluate the accuracy of the ESI triage score in predicting cardiac events among suspected ACS patients in the ED. Design and Methods: A prospective correlational observational study design was performed in cardiac ED. Tools Three tools were utilized to collect data pertinent to the study: Tool l: Patients' assessment (patients personal characteristics, vital signs) Tool II: ESI triage score sheet. Tool III: major adverse cardiac events (MACE) incidence among studied patients within 30 days. Results: Patients were triaged as (42.5%) ESI score 1, (41.0%) as ESI score 2 and (16.5%) as ESI score 3. ESI score ≤ 1 had sensitivity and specificity, positive, negative predictive value, and area under the curve of 53.52% and 84.48%, 89.4%, 42.6%, and 0.704, respectively. Conclusion: This study concludes that the ESI triage scores have a moderate accuracy in predicting cardiac events among suspected ACS patients at the cardiac ED. The study recommended: That enhanced training and possibly integrating additional diagnostic tools or biomarkers to improve the ESI score's sensitivity and overall predictive accuracy. Reapply this research on a large sample size acquired from different geographical areas in Egypt. | ||||
Keywords | ||||
Acute Coronary Syndrome; Emergency Department; Emergency Severity Index triage score & Major Adverse Cardiac Event | ||||
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