Modification of the Thrombolysis in Myocardial Infarction risk score for patients presenting with chest pain to the emergency department

ConclusionsAttempts to modify the TIMI score yielded two scores with added predictive utility in comparison to the original TIMI model. The addition of GRACE variables (g‐TIMI) increased sensitivity for MACE, but decreased the specificity of the model. The s‐TIMI score yielded good specificity but had sensitivity that would not be acceptable by emergency physicians. The s‐TIMI may be useful as part of an accelerated chest pain protocol.

Source: Emergency Medicine Australasia - December 12, 2017 Category: Emergency Medicine Authors: Jaimi H Greenslade, Kimberly Chung, William A Parsonage, Tracey Hawkins, Martin Than, John W Pickering, Louise Cullen Tags: Original Research Source Type: research