Computerized History Taking Enables Chest Pain Risk Stratification

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.