Table 1 Characteristics of the studies based in Primary Care
From: Clinical assessment of patients with chest pain; a systematic review of predictive tools
Author | Country | Patients for score derivation (n) | Outcome | Patients with outcome n (%) | Maximum time between assessment and outcome measure | Variables | Performance |
|---|---|---|---|---|---|---|---|
Soxa 1990 [35] | USA | 1074 | MI Angina Coronary insufficiency | 424 (39.5) | 1 year | Age Gender Exertional pain Patient stops activities when pain occurs PMH of MI Smoking Pain relived by NTG | For score > 4 S:0.99 Sp:0.18 PPV:0.45 NPV:0.98 |
Gencer 2010 [36] | Switzerland Germany | 661 | CAD | 85 (12.9) | 1 year | Age Gender CV Risk Known Pain location Pain duration Exertional pain Pain on palpation PMH of CVD | AUC: 0.95 (0.92-0.97) |
For scores < 5 (Lowest 5 % for patients with CAD):S:0.98 Sp:0.71 NPV:0.99 | |||||||
Bösner 2010 [30] | Germany Switzerland | 1199 | CAD | 180 (15.0) | 6 months | Age Gender Exertional pain PMH of CVD Patient assumes pain of cardiac origin Pain on palpation | AUC: 0.90 (0.87-0.93) |
For a cut-off value of 3 (risk of CAD > 35 %): S:0.86 (0.79-0.92) Sp:0.75 (0.72-0.78) PPV:0.35 (0.29-0.41) NPV:0.97 (0.96-0.98) |