Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
Emerg Med Australas. 2020 Oct;32(5):872-874. doi: 10.1111/1742-6723.13603. Epub 2020 Aug 18.
To determine the distribution of Aortic Dissection Detection Risk Score (ADDRS) in undifferentiated chest pain patients.
Prospective observational study of adult patients presenting to the ED with non-traumatic chest pain.
Of 139 patients studied, more than 75% of patients has an ADDRS ≥1, mainly because of the report of severe pain. There were no aortic dissections. In patients with non-specific chest pain, testing driven by the ADDRS protocol would have seen a 280% increase in d-dimer testing and 2200% increase in computed tomography aortogram rates.
Widespread use of the ADDRS and its investigation protocol cannot be supported.
确定非创伤性胸痛患者中主动脉夹层检测风险评分（ADDRS）的分布。
对因非创伤性胸痛而到急诊科就诊的成年患者进行前瞻性观察性研究。
在研究的 139 名患者中，超过 75%的患者的 ADDRS≥1，主要是因为报告了严重疼痛。没有发生主动脉夹层。对于非特异性胸痛患者，根据 ADDRS 方案进行的检测会导致 D-二聚体检测增加 280%，计算机断层主动脉造影检测增加 2200%。
不能支持广泛使用 ADDRS 及其调查方案。
