Title: Three-Year Retrospective Evaluation of the HEART Score Protocol for Managing Chest Pain in the Emergency Department

Abstract Description

Authors (including presenting author) :

Hon Wah Ng, Shu Wing Kung, Kin pang Yau, Pik Ki Chan

Affiliation :

TKOH AED

Introduction :

Title: Three-Year Retrospective Evaluation of the HEART Score Protocol for Managing Chest Pain in the Emergency Department

Abstract:

Background: The HEART Score protocol is one of the tool for risk stratification in emergency department (ED) patients with chest pain, guiding management and admission decisions. This study, spanning from 2021 to 2023, investigates the protocol's impact on patient care outcomes, with a particular focus on safety as measured by short-term re-attendance rates.

Methods: A retrospective cohort study was conducted on 198 patients presenting with chest pain from 2021 to 2023 to TKOH AED, stratified via the HEART score and belonged to the moderate (4-6), and low-risk (0-3) categories, excluding those with high-risk indicators. Patients with high (7-10) HEART score were excluded. The study analyzed demographics, clinical risk factors, presenting symptoms, initial ECG findings, HEART Scores, ED stay duration, admission rates, and one-month re-attendance rate fo

Objectives :

by using HEART Score for risk stratification to reduce medical admission for low to moderate risk patient and manage them in AED and EMW with safe discharge and timely follow up

Methodology :

implementation of the chest pain protocol and monitor the statistic

Result & Outcome :

achieve:
reduce medical admission
manage more patients in AED/ EMW
low reattendance rate
litter transfer to medical