title: [Assessment of non-traumatic chest pain in emergency room: comparison between heart score and triage assessment of an Italian hospital].
abstract: BACKGROUND
  Triage for non-traumatic chest pain is a difficult issue for nurses in Emergency Department.
  
  
  OBJECTIVE
  To compare sensibility and specificity of usual triage and HEART score.
  
  
  METHODS
  A retrospective cohort study was conducted in the Emergency Room of Città della Salute e della Scienza - Molinette Hospital of Turin (Italy). Data about triage of patients with non-traumatic chest pain were retrieved and HEART score was calculated by a nurse blind to the triage assessment.
  
  
  RESULTS
  Data on 428 patients were collected. The assessment with the HEART score showed a significantly higher sensitivity and specificity, respect to usual triage (p-value for comparison: 0.01 and 0.0001, respectively). Moreover the HEART score better identified patients with delayed risk.
  
  
  CONCLUSIONS
  HEART score can be considered a more effective tool for the assessment of patients with non-traumatic chest pain.
authors.affiliation: Azienda Ospedaliera Città della Salute e della Scienza, Torino, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Barba
authors.forename: Fabio
authors.initials: F
authors.lastname: Capuzzi
authors.forename: Simona
authors.initials: S
authors.lastname: Frigerio
authors.forename: Marco
authors.initials: M
authors.lastname: Clari
authors.forename: Valentina
authors.initials: V
authors.lastname: Bonomi
authors.forename: Fulvio
authors.initials: F
authors.lastname: Ricceri
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000451:nursing*; D000328:Adult; D002637:Chest Pain / Q000451:nursing*; D004636:Emergency Service, Hospital; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D057216:Propensity Score; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012680:Sensitivity and Specificity; D019210:Troponin I / Q000097:blood; D020107:Troponin T / Q000097:blood
chemical_list: D019210:Troponin I; D020107:Troponin T