Annals of emergency medicine
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Review Meta Analysis Comparative Study
HEART Score Risk Stratification of Low-Risk Chest Pain Patients in the Emergency Department: A Systematic Review and Meta-Analysis.
The objectives of this systematic review and meta-analysis are to appraise the evidence in regard to the diagnostic accuracy of a low-risk History, ECG, Age, Risk Factors, and Troponin (HEART) score for prediction of major adverse cardiac events in emergency department (ED) patients. These included 4 subgroup analyses: by geographic region, the use of a modified low-risk HEART score (traditional HEART score [0 to 3] in addition to negative troponin results), using conventional versus high-sensitivity troponin assays in the HEART score, and a comparison of different post-ED-discharge patient follow-up intervals. ⋯ In this meta-analysis, despite its use in different patient populations, the troponin type used, and timeline of follow-up, a low-risk HEART score had high sensitivity, negative predictive value, and negative likelihood ratio for predicting short-term major adverse cardiac events, although risk of bias and statistical heterogeneity were high.
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Editorial Meta Analysis Comparative Study
Does Oral or Topical Tranexamic Acid Control Bleeding From Epistaxis?
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Editorial Meta Analysis Comparative Study
Does Needle Gauge or Tip Design Prevent Postdural Puncture Headache?
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Editorial Meta Analysis Comparative Study
In Patients With Acute Myocardial Infarction and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen?
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Editorial Meta Analysis
Is the Liberal Use of Oxygen Associated With Worse Outcomes Among Critically Ill Patients?