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May 31, 2026Clinics and PracticeOpen Access

HEART and EDACS categories were significantly associated with hospitalization status across all study years in unadjusted analyses.

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Population

2070 adult patients with documented acute chest pain presenting to the emergency department.

Design

Cohort

Authors

GTGabriela-Florentina TaposDIDAN ILIESCUMNMihaela Cristina Negru

Discussion

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Overview

Supports HEART/EDACS use for ED chest pain risk stratification; leaves open impact on outcomes in prospective studies.

Key Points

  • The study aims to assess clinical characteristics and risk stratification patterns in patients presenting with acute chest pain in the emergency department.
  • Retrospective analysis of registry data from Arad County Clinical Emergency Hospital (January 2021 - December 2024)
  • Inclusion of adult patients with documented acute chest pain using predefined criteria
  • Evaluation of demographics, comorbidities, troponin values, and risk scores (HEART, EDACS, Marburg Heart Score)
  • A total of 2070 patients were included, with hypertension and diabetes being the most common comorbidities.
  • Accurate risk scores (HEART and EDACS) were significantly linked to hospitalization status across study years.
  • Age correlated with increased cardiovascular comorbidity burden and higher risk categories.

Structured PICO

P
Population
2070 adult patients with documented acute chest pain presenting to the emergency department.
O
Outcome
Hospitalization status and its association with risk stratification scores (HEART, EDACS, and Marburg Heart Score)

In emergency department patients with acute chest pain, structured risk stratification scores like HEART and EDACS are significantly associated with hospitalization status.

Cite This Study

Tapos et al. (2026) studied this question.

synapsesocial.com/papers/6a1bd2375783ba022b6fd9d2https://doi.org/10.3390/clinpract16060103
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Analysis of patients presenting with chest pain in the emergency department using laboratory parameters and scoring in the prediction of acute coronary syndrome hospitalization2025
  2. 2Healthcare practitioners' use of the HEART score for risk stratification and management of adults with acute chest pain presenting to the emergency department: A scoping review2026
  3. 3<b>A Study on Most Common Causes of Chest Pain in Emergency Department Presentations</b>2025
  4. 4Predictive Performance of the HEART Score for Acute Coronary Syndrome with Significant Coronary Stenosis in Patients with Non–ST-Elevation Acute Chest Pain2026
  5. 5Improving chest pain risk assessment: validation of HEART, TIMI, GRACE, EDACS-ADP, and HET for MACE prediction in the emergency department2025 · 7 citations