![]() In our low-risk population the majority of TIMI risk score differences were small however, 12% of TIMI risk scores differed by two or more points.Ĭonclusion: TIMI risk scores determined by ED providers in the setting of a busy ED frequently differ from scores generated by trained research investigators who complete them while not under the same pressure of an ED provider. We compared the prognostic value of the GRACE and PURSUIT risk scores to the TIMI score in the broader ED patient population presenting with potential ACS. Results: Of the 501 adult patients enrolled in the study, 29.3% of TIMI risk scores determined by ED providers and trained research investigators were generated using identical TIMI risk score variables. We examined provider type, patient gender, and TIMI elements for their effects on TIMI risk score discrepancy. Antman has published on the use of serum cardiac markers for diagnosis and prognosis of patients with unstable angina and acute myocardial infarction, cyclooxygenase and cardiovascular risk, and antithrombotic therapy for acute coronary syndromes. It helps us determine disposition in our STEMI patients those with a score of 130 or higher. The authors used C-statistics to assess the accuracy of both scores for predicting angiographic disease, which gave values between 0.56 and 0.65 for the TIMI. As a senior investigator in the TIMI Study Group, Dr. Methods: This was an ED-based prospective observational cohort study comparing TIMI scores obtained by 49 ED providers admitting patients to an ED chest pain unit (CPU) to scores generated by a team of trained research investigators. We use the in-hospital mortality outcome with the GRACE score. to the initial patient population on which the score design was based. ![]() We assessed whether TIMI risk scores obtained by ED providers in the setting of a busy ED differed from those obtained by trained research investigators. Both TIMI and GRACE risk scores are valid for use in ACS patients in the Assiut. Most of the studies we reviewed relied on trained research investigators to determine TIMI risk scores rather than ED providers functioning in their normal work capacity. ![]() Introduction: Several studies have attempted to demonstrate that the Thrombolysis in Myocardial Infarction (TIMI) risk score has the ability to risk stratify emergency department (ED) patients with potential acute coronary syndromes (ACS). ![]()
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