• Emerg Med Australas · Oct 2020

    Observational Study

    What is the distribution of Aortic Dissection Detection Risk Score in an undifferentiated emergency department chest pain population?

    • Amiel J Rawicki, Sharon Klim, and Anne-Maree Kelly.
    • Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2020 Oct 1; 32 (5): 872874872-874.

    ObjectiveTo determine the distribution of Aortic Dissection Detection Risk Score (ADDRS) in undifferentiated chest pain patients.MethodsProspective observational study of adult patients presenting to the ED with non-traumatic chest pain.ResultsOf 139 patients studied, more than 75% of patients has an ADDRS ≥1, mainly because of the report of severe pain. There were no aortic dissections. In patients with non-specific chest pain, testing driven by the ADDRS protocol would have seen a 280% increase in d-dimer testing and 2200% increase in computed tomography aortogram rates.ConclusionWidespread use of the ADDRS and its investigation protocol cannot be supported.© 2020 Australasian College for Emergency Medicine.

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