Researchcomputerized history takingchest painrisk scoresclinical decision support
Computerized History Taking Enables Chest Pain Risk Stratification
7.2
A prospective cohort at Danderyd University Hospital (Oct 2017–May 2019) enrolled 1,000 adults with chest pain to evaluate tablet-based computerized history taking (CLEOS) for populating four risk scores (HEART, D-HEART, EDACS-ADP, T-MACS). CHT enabled score calculation in 838 patients, achieved 0.99 NPV for 30-day ACS/MACE, sensitivities 0.91–0.97, and reclassified 89 admitted patients as low risk.
Key Points
- 1Calculated four chest pain risk scores from CHT data in 838 of 1,000 patients.
- 2Showed high NPV (0.99) and sensitivities (0.91–0.97) for ruling out 30-day MACE/ACS.
- 3Indicated potential to reclassify 16.9% of admitted patients as low risk, aiding discharge decisions.
Scoring Rationale
Prospective, peer-reviewed cohort demonstrates practical CHT-based risk stratification; limited by single-center design and need for broader validation.
Sources
Public references used for this report.
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