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Clinical Characteristics, Risk Score Distribution, and Hospitalization Status in Emergency Department Patients with
Gabriela-Florentina Țapoș1,2, Dan Iliescu3,4, Mihaela Cristina Negru5
1Doctoral School, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Clinics and Practice
|June 25, 2026
Summary
Structured risk scores effectively predict hospitalization for acute chest pain patients. Age correlates with cardiovascular disease burden, highlighting its importance in risk assessment for chest pain evaluation.
Area of Science:
- Cardiology
- Emergency Medicine
- Clinical Risk Stratification
Background:
- Cardiovascular diseases are leading causes of death globally.
- Acute chest pain is a common emergency department presentation requiring prompt diagnosis.
- Effective risk stratification is crucial for managing acute chest pain and identifying high-risk patients.
Purpose of the Study:
- To evaluate clinical characteristics and cardiovascular risk profiles of adults presenting with acute chest pain.
- To assess the patterns of risk stratification and hospitalization status in this patient cohort.
- To explore the utility of HEART, EDACS, and Marburg Heart Score in predicting outcomes.
Main Methods:
- Retrospective registry data analysis from Arad County Clinical Emergency Hospital (January 2021 - December 2024).
- Inclusion of adult patients with documented acute chest pain based on predefined criteria.
- Extraction of demographics, comorbidities, clinical presentation, troponin values, hospitalization status, and risk scores (HEART, EDACS, Marburg Heart Score).
Main Results:
- 2070 patients included, predominantly aged 35-69 years.
- Hypertension and diabetes mellitus were the most frequent comorbidities; pressure-like chest pain was predominant.
- HEART and EDACS scores significantly correlated with hospitalization status; age was linked to comorbidity burden and higher risk scores.
Conclusions:
- Established risk stratification scores demonstrate association with hospitalization outcomes in acute chest pain patients.
- Patient age is a significant factor associated with the burden of cardiovascular risk.
- These findings underscore the importance of structured risk assessment in managing acute chest pain.
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