院前胸痛风险分层工具性能：RESCUE研究
院前急救人员使用四种胸痛风险评分工具预测30天MACE和PE的前瞻性队列数据集。
基本信息
资源简介
院前胸痛风险分层工具性能：RESCUE研究
【一句话概览】
本数据集是 figshare 公开的结构化表格数据集，收录 3 个文件、合计 175.59 KB，主题涵盖 two north carolina、emergency medical services、acute coronary syndrome、86 – 3、paramedics completed hear，可用于统计建模、特征工程与队列分析，CC BY 4.0 许可开放获取。
【数据集背景】
本数据集源站标题为《Performance of Prehospital Use of Chest Pain Risk Stratification Tools: The RESCUE Study》。配套论文《Performance of Prehospital Use of Chest Pain Risk Stratification Tools: The RESCUE Study》发表于 Prehospital Emergency Care（2022），DOI：10.1080/10903127.2022.2036883。项目资助方：Dr. Stopyra receives research funding from NCATS/NIH (UL1TR001420 & KL2TR001421) and HRSA (H2ARH39976-01-00). He is an advisor for Roche Diagnostics. Dr. Snavely receives funding from Abbott Laboratories and HRSA (1H2ARH399760100). Dr. Miller receives research funding from Siemens, Abbott Point of Care, Creavo Medical Technologies, Grifols, and NHLBI (5U01HL123027, 1 R01 HL118263). He has a US Patent on cardiac biomarkers for coronary artery disease not related to cholesterol esters. Dr. Mahler receives funding/support from Roche Diagnostics, Abbott Laboratories, Ortho Clinical Diagnostics, Siemens, Grifols, Pathfast, Quidel, and HRSA (1H2ARH399760100). He is an advisor for Roche Diagnostics, Abbott Laboratories, Genetesis, Quidel, Inflammatix, and Amgen and the Chief Medical Officer for Impathiq Inc.。源站首次发布：2022-11-12。
【数据内容】
源站原始描述：Emergency medical services (EMS) assesses millions of patients with chest pain each year. However, tools validated to risk stratify patients for acute coronary syndrome (ACS) and pulmonary embolism (PE) have not been translated to the prehospital setting. The objective of this study is to assess the prehospital performance of risk stratification scores for 30-day major adverse cardiac events (MACE) and PE. A prospective observational cohort study of patients ≥21 years of age with acute chest pai…
【数据结构与技术规格】
文件数 3 个，合计 175.59 KB。Figure S1.docx：application/vnd.openxmlformats-officedocument.wordprocessingml.document，82.48 KB。Figure S2.docx：application/vnd.openxmlformats-officedocument.wordprocessingml.document，66.08 KB。Supplementary_Material.docx：application/vnd.openxmlformats-officedocument.wordprocessingml.document，27.03 KB。数据集 DOI：10.6084/m9.figshare.19193111.v2。
【主题与分类】
源站学科分类：Medicine、Physiology、Biotechnology、Immunology、Biological Sciences not elsewhere classified、Cancer。主题标签：two north carolina、emergency medical services、acute coronary syndrome、86 – 3、paramedics completed hear、combined outcome occurred、32 – 1、27 – 0、26 – 1、08 – 0。
【适用方向】
结构化表格数据可直接用于统计建模、特征工程与队列分析。
【获取与许可】
源站页面：https://tandf.figshare.com/articles/dataset/Performance_of_Prehospital_Use_of_Chest_Pain_Risk_Stratification_Tools_The_RESCUE_Study/19193111
使用许可：CC BY 4.0（https://creativecommons.org/licenses/by/4.0/）。
规范引用：Performance of Prehospital Use of Chest Pain Risk Stratification Tools: The RESCUE Study. Taylor & Francis. Stopyra, Jason P.; Snavely, Anna C.; Ashburn, Nicklaus P.; O’Neill, James; Paradee, Brennan E.; Hehl, Brian; et al
【使用注意】
· 源站最后修改于 2023-12-19，引用时请注意版本时效。
下载信息
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使用方式
数据集获取（Figshare）
- 源站标题：Performance of Prehospital Use of Chest Pain Risk Stratification Tools: The RESCUE Study
- DOI：10.6084/m9.figshare.19193111.v2
- 发布日期：2022-11-12
- 文件数：3 个
- 文件总体积：175.59 KB
- 源站页面：https://tandf.figshare.com/articles/dataset/Performance_of_Prehospital_Use_of_Chest_Pain_Risk_Stratification_Tools_The_RESCUE_Study/19193111
命令行下载
curl -L -o "Figure S1.docx" "https://ndownloader.figshare.com/files/38192043"
curl -L -o "Figure S2.docx" "https://ndownloader.figshare.com/files/38192046"
curl -L -o "Supplementary_Material.docx" "https://ndownloader.figshare.com/files/38192049"
文件清单
Figure S1.docx（82.48 KB）Figure S2.docx（66.08 KB）Supplementary_Material.docx（27.03 KB）
文件总体积 175.59 KB（源站 API 实测）。
数据说明
Emergency medical services (EMS) assesses millions of patients with chest pain each year. However, tools validated to risk stratify patients for acute coronary syndrome (ACS) and pulmonary embolism (PE) have not been translated to the prehospital setting. The objective of this study is to assess the prehospital performance of risk stratification scores for 30-day major adverse cardiac events (MACE) and PE.
A prospective observational cohort study of patients ≥21 years of age with acute chest pain who were transported by EMS in two North Carolina (NC) counties was conducted from 18 April 2018–2 January 2019. In this convenience sample, paramedics completed HEAR (history, electrocardiogram, age, risk factor), ED Assessment of Chest Pain Score (EDACS), Revised Geneva Score (RGS), and pulmonary embolism rule-out criteria (PERC) assessments on each patient. MACE (all-cause death, myocardial infarction, and revascularization) and PE at 30 days were determined by hospital records and NC Death Index. The positive (+LR) and negative likelihood ratios (−LR) of the risk scores for 30-day MACE and PE were calculated.
During the study period, 82.1% (687/837) patients had all four risk score assessments. The cohort was 51.1% (351/687) female, 49.5% (340/687) African American, and had a mean age of 55.0 years (SD 16.0). At 30 days, MACE occurred in 7.4% (51/687), PE occurred in 0.9% (6/687), and the combined outcome occurred in 8.2% (56/687). The HEAR score had a − LR of 0.46 (95% CI 0.27–0.78) and + LR of 1.48 (95% CI 1.26–1.74) for 30-day MACE. EDACS had a − LR of 0.61 (95% CI 0.46–0.81) and + LR of 2.53 (95% CI 1.86–3.46) for 30-day MACE. The PERC score had a − LR of 0 (95% CI 0.0–1.4) and a + LR of 1.38 (95% CI 1.32–1.45) for 30-day PE. The RGS score had a − LR of 0 (95% CI 0.0–0.65) and a + LR of 2.36 (95% CI 2.16–2.57) for 30-day PE. The combination of a low-risk HEAR score and negative PERC evaluation had a − LR of 0.25 (95% CI 0.08–0.76) and a + LR of 1.21 (95% CI 1.21–1.30) for 30-day MACE or PE.
The combination of a paramedic-obtained HEAR score and PERC evaluation performed best to exclude 30-day MACE and PE but was not sufficient for directing prehospital decisi
许可
CC BY 4.0
引用
学术使用请引用 DOI 10.6084/m9.figshare.19193111.v2（source: https://tandf.figshare.com/articles/dataset/Performance_of_Prehospital_Use_of_Chest_Pain_Risk_Stratification_Tools_The_RESCUE_Study/19193111）。
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