@entity662 in the XXXX : risk stratification with Manchester triage system and HEART score.

@entity662 @entity1 @entity1187 @entity341 @entity740 @entity299 @entity583
BACKGROUND: Fast and accurate @entity662 risk stratification in the @entity341 ( @entity341 ) is critical. The HEART score predicts the short-term incidence of major adverse @entity299 (MACE) in this population, dividing it in three risk categories. We aimed to describe the population with @entity662 , to characterize the subgroup of @entity1 with @entity1187 ( @entity1187 ) and to assess the prognostic value of Manchester triage system and of HEART score. METHODS: Retrospective observational study including @entity1 admitted to the @entity341 of a tertiary hospital with @entity662 as the presenting symptom. The primary outcome was a composite of all-cause mortality, @entity583 or unscheduled revascularization at 6  weeks. RESULTS: We enrolled 233 @entity1 (age 58        19; 55.4  % males). The most common final diagnosis was non-specific @entity662 (n   =   86, 36.9  %), followed by @entity1187 (n   =   22, 9.4  %). Male gender, smoking and @entity740 were associated with higher risk of @entity1187 . According to Manchester triage system, @entity662 @entity1 stratified with red or orange priority had a higher incidence of @entity1187 (16.5  % vs. 3.8  %, p   =   0.006). The application of HEART score showed that most @entity1 were in low risk category (56.3  %). The six-week incidence of MACE in each category was 2  %, 15.6  % and 76.9  % (p   <   0.001). HEART score accurately predicted the short-term incidence of MACE in @entity662 @entity1 (c-statistic 0.880; 95  % CI, 0.807-0.950, p   <   0.001). CONCLUSIONS: @entity662 @entity1 have very different levels of severity and the discriminatory power of Manchester triage system should be used in the assessment of this population. The HEART score seems to be an effective tool for risk stratification in the @entity341 .
