{"id":"https://openalex.org/W4389944862","doi":"https://doi.org/10.1161/circ.148.suppl_1.13433","title":"Abstract 13433: Outcomes of Chest Pain Discharge Decisions Following Launch of a Heart Score Clinical Decision Support Alert","display_name":"Abstract 13433: Outcomes of Chest Pain Discharge Decisions Following Launch of a Heart Score Clinical Decision Support Alert","publication_year":2023,"publication_date":"2023-11-07","ids":{"openalex":"https://openalex.org/W4389944862","doi":"https://doi.org/10.1161/circ.148.suppl_1.13433"},"language":"en","primary_location":{"id":"doi:10.1161/circ.148.suppl_1.13433","doi":"https://doi.org/10.1161/circ.148.suppl_1.13433","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.13433","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093530305","display_name":"Adrianna Vaskas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I75747061","display_name":"Geisinger College of Health Sciences","ror":"https://ror.org/04bqfk210","country_code":"US","type":"education","lineage":["https://openalex.org/I54713919","https://openalex.org/I75747061"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adrianna Vaskas","raw_affiliation_strings":["Geisinger Commonwealth Sch of Medicine, Scranton, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Commonwealth Sch of Medicine, Scranton, PA","institution_ids":["https://openalex.org/I75747061"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083243284","display_name":"Ria Garg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153925","display_name":"Geisinger Wyoming Valley Medical Center","ror":"https://ror.org/04580ts27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210153925","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ria Garg","raw_affiliation_strings":["Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA","institution_ids":["https://openalex.org/I4210153925"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103246882","display_name":"Muzna Hussain","orcid":"https://orcid.org/0000-0003-1533-6634","observed_orcids":["https://orcid.org/0000-0003-1533-6634"]},"institutions":[{"id":"https://openalex.org/I4210153925","display_name":"Geisinger Wyoming Valley Medical Center","ror":"https://ror.org/04580ts27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210153925","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Muzna Hussain","raw_affiliation_strings":["Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA","institution_ids":["https://openalex.org/I4210153925"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kyle Marshall","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle Marshall","raw_affiliation_strings":["Emergency Medicine, Geisinger Med Cntr, Danville, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, Geisinger Med Cntr, Danville, PA","institution_ids":["https://openalex.org/I1293487830"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017496757","display_name":"Martin E. Matsumura","orcid":"https://orcid.org/0000-0001-9303-0978","observed_orcids":["https://orcid.org/0000-0001-9303-0978"]},"institutions":[{"id":"https://openalex.org/I4210153925","display_name":"Geisinger Wyoming Valley Medical Center","ror":"https://ror.org/04580ts27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210153925","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Martin E Matsumura","raw_affiliation_strings":["Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Wyoming Valley Med Cntr, Wilkes Barre, PA","institution_ids":["https://openalex.org/I4210153925"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"148","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.8237000107765198,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.8237000107765198,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.07180000096559525,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.032499998807907104,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-score","display_name":"HEART score","score":0.9710000157356262},{"id":"https://openalex.org/keywords/clinical-decision-support","display_name":"clinical decision support","score":0.7080000042915344},{"id":"https://openalex.org/keywords/chest-pain","display_name":"chest pain","score":0.9629999995231628},{"id":"https://openalex.org/keywords/high-sensitivity-troponin-t","display_name":"high-sensitivity troponin T","score":0.8320000171661377},{"id":"https://openalex.org/keywords/accelerated-diagnostic-protocol","display_name":"accelerated diagnostic protocol","score":0.9330000281333923},{"id":"https://openalex.org/keywords/major-adverse-cardiovascular-events","display_name":"major adverse cardiovascular events","score":0.847000002861023},{"id":"https://openalex.org/keywords/30-day-outcomes","display_name":"30-day outcomes","score":0.8330000042915344},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.6579999923706055},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.8420000076293945}],"concepts":[{"id":"https://openalex.org/C2780739214","wikidata":"https://www.wikidata.org/wiki/Q6723023","display_name":"Mace","level":4,"score":0.9813699722290039},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9165510535240173},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.6654572486877441},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4751324951648712},{"id":"https://openalex.org/C11783203","wikidata":"https://www.wikidata.org/wiki/Q5478027","display_name":"Framingham Risk Score","level":3,"score":0.4637179374694824},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.43326476216316223},{"id":"https://openalex.org/C36036425","wikidata":"https://www.wikidata.org/wiki/Q7846262","display_name":"Troponin","level":3,"score":0.431990385055542},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.4129377007484436},{"id":"https://openalex.org/C115725540","wikidata":"https://www.wikidata.org/wiki/Q7846263","display_name":"Troponin I","level":3,"score":0.41024351119995117},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3586445450782776},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.1892777383327484},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.1573704183101654},{"id":"https://openalex.org/C2780400711","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Percutaneous coronary intervention","level":3,"score":0.1329973042011261}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.148.suppl_1.13433","doi":"https://doi.org/10.1161/circ.148.suppl_1.13433","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.13433","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4404703745","https://openalex.org/W7163812701","https://openalex.org/W2993188534","https://openalex.org/W4206232953","https://openalex.org/W4410271824","https://openalex.org/W2363398569","https://openalex.org/W2990649577","https://openalex.org/W3125207776","https://openalex.org/W2996353341","https://openalex.org/W2792616551"],"abstract_inverted_index":{"Background:":[0],"The":[1],"use":[2],"of":[3,18,62,92,111,122,141,168,220,234,253,282,291],"a":[4,67,104,142,151,221,262],"bioclinical":[5],"risk":[6,49,223,233,281],"score":[7,12,37,65,97,144,226,240,248,276],"such":[8],"as":[9],"the":[10,16,22,60,63,85,90,131,139,193,216,232,274,288,292],"HEART":[11,36,64,96,143,225,239,247,256,275],"is":[13,55],"recommended":[14],"for":[15,50,128,130,238,246],"evaluation":[17],"pts":[19,34,114],"presenting":[20],"to":[21,66,135,295],"ED":[23,112,126,269],"with":[24,35,43],"chest":[25],"pain":[26],"(CP).":[27],"Prior":[28],"studies":[29],"have":[30,103,261],"demonstrated":[31],"that":[32,159],"CP":[33,80,113,129],"<":[38,241],"3":[39,242],"and":[40,136,187,208,211],"\u201cruled":[41],"out\u201d":[42],"cardiac":[44],"troponin":[45,71],"series":[46],"are":[47,190],"low":[48],"30d":[51,266,283],"death/MI":[52],"(MACE).":[53],"There":[54,195],"limited":[56],"data":[57],"regarding":[58],"whether":[59],"addition":[61,91],"validated":[68,153],"high":[69,222],"sensitivity":[70],"accelerated":[72,154],"diagnostic":[73],"protocol":[74],"(ADP)":[75],"has":[76],"beneficial":[77,105],"effects":[78],"on":[79,107,265,300],"patient":[81],"discharge":[82,108,271],"decisions":[83],"in":[84,115,161,170,192,200,209,227],"ED.":[86],"Research":[87],"Question:":[88],"Did":[89],"an":[93,254,301],"EHR-embedded":[94,255],"automated":[95],"clinical":[98,296],"decision":[99,109,297],"support":[100],"alert":[101],"(CDSA)":[102],"effect":[106,264],"making":[110,298],"Geisinger":[116],"Health":[117],"System?":[118],"Methods:":[119],"Retrospective":[120],"analysis":[121],"30day":[123],"MACE":[124,169,182,202,235],"following":[125,138,268],"visit":[127],"6mo":[132],"period":[133,186],"prior":[134],"10mo":[137],"launch":[140],"CDSA":[145,258,294],"(11/2021-3/2023).":[146],"Discharges":[147],"were":[148,196],"stratified":[149,183],"using":[150,177],"previously":[152],"hsTnT":[155,303],"ADP":[156,188,304],"into":[157],"those":[158],"ruled":[160,164],"(ADP+)":[162],"or":[163,218],"out":[165],"(ADP-).":[166],"Comparison":[167],"pre-":[171,203],"vs.":[172,204],"post-CDSA":[173],"periods":[174],"was":[175],"performed":[176],"chi":[178],"square":[179],"analysis.":[180],"Results:":[181],"by":[184,277],"study":[185,286],"results":[189],"summarized":[191],"Table.":[194],"no":[197],"significant":[198,263],"differences":[199],"30-day":[201],"post-CDSA,":[205],"both":[206],"overall":[207],"ADP+":[210],"ADP-":[212],"subgroups.":[213],"In":[214],"contrast,":[215],"presence":[217],"absence":[219],"(>3)":[224],"isolation":[228],"did":[229,259,279],"significantly":[230],"predict":[231],"[11/2360":[236],"(0.47%)":[237],"vs":[243],"36/966":[244],"(4.04%)":[245],">3,":[249],"p<0.001].":[250],"Conclusions:":[251],"Addition":[252],"Score":[257],"not":[260],"outcomes":[267],"provider":[270],"decisions.":[272],"While":[273],"itself":[278],"stratify":[280],"MACE,":[284],"our":[285],"suggests":[287],"additive":[289],"benefit":[290],"HS":[293],"based":[299],"established":[302],"unclear.":[305]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2023-12-20T00:00:00"}