Non traumatic chest pain is the second most common cause of attention at the Emergency Departments (ED). The objective is to compare the effectiveness of HEART risk score and the risk of having a Major Adverse Cardiovascular Event (MACE) during the following 6 weeks in ‘Acute Non-traumatic Chest Pain’ (ANTCP) patients of an ED in Lleida (Spain). The ANTCP patient cohort was defined using medical data from January 2015 to January 2016. A retrospective study was performed among 300 ANTCP patients. Diagnostic accuracy to predict MACE, HEART risk score effectiveness and patient risk stratification were analysed on the ANTCP Cohort. HEART risk score was conducted on ANTCP Cohort data and patients were stratified as low-risk (n = 116, 38.7%), moderate-risk (n = 164, 54.7%) and high-risk (n = 20, 6.7%); differently from the assessment performed by 'Current Emergency Department Guidelines’ (CEDG) on the same patients: low risk and discharge (n = 56, 18.7%), medium risk and need of complementary tests (n = 137, 45.7%) and high risk and hospital admission (n = 107, 35.7%).The incidence of MACE was 2.5%, 20.7% and 100% in low, moderate and high-risk, respectively. Discrimination and accuracy indexes were moderate (AUC = 0.73, 95% confidence interval: 0.67–0.80). Clustering moderate-high risk groups by MACE incidence showed an 89.5% of sensitivity. Data obtained from this study suggests that HEART risk score stratified better ‘acute non-traumatic chest pain’ (ANTCP) patients in an Emergency Department (ED) compared with ‘Current Emergency Department Guidelines’ (CEDG) at the Hospital Universitari Arnau de Vilanova (HUAV). HEART score would reduce the number of subsequent consultations, unnecessary admissions and complementary tests.Trial registration: Retrospectively registered.
Background: Research data to evaluate crucial components of adolescence maturational process is needed and a challenge for researchers and field professionals. Objectives: Promote positive body image, healthy habits and changes in self-esteem among both boys and girls at High schools in our area, though the analysis of measurements and obtained research data. Methods: Self-reported questionnaire assessed 323 students. Physical measurements (weight, height, BMI) were registered in all participants. The questionnaire measured body image perception (Gardner body image evaluation scale), self-esteem (Rosenberg self-esteem scale) and body image concern (Adonis complex questionnaire). Results: The body image distortion score was similar by gender and it decreased by age. The body dissatisfaction score was negative and higher in girls. Body dissatisfaction score and self-esteem were related, so participants with low self-esteem showed a higher body dissatisfaction score. Clear association was also shown between body dissatisfaction score and body image concern, females had a higher body concern and dissatisfaction than males. Discussion: These local measurements provided updated data on our population and they will be taken in consideration to implement community health programs and further tailor intervention programs.
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