Why the aortic dissection detection risk score is problematic in emergency departments

Acute aortic syndromes, including aortic dissection (AD), are rare. The AD detection risk score (ADDRS) and associated investigation pathway were developed to reduce missed diagnosis of AD. The methodology for its development was sub-optimal and it has not been robustly validated in the emergency de...

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Main Author:	Anne-Maree Kelly
Format:	Article
Language:	English
Published:	Open Exploration Publishing Inc. 2021-08-01
Series:	Exploration of Medicine
Subjects:	risk score aortic dissection clinical decision rule
Online Access:	https://www.explorationpub.com/Journals/em/Article/100153

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spelling	doaj-2cc64081912b444184c07f0b3b2acfcd2021-09-01T08:37:00ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062021-08-012434835110.37349/emed.2021.00053Why the aortic dissection detection risk score is problematic in emergency departmentsAnne-Maree Kelly0https://orcid.org/0000-0002-4655-5023Joseph Epstein Centre for Emergency Medicine Research at Western Health, Melbourne 3021, Australia; Department of Medicine, Western Health, Melbourne 3021, Australia; Melbourne Medical School, the University of Melbourne, Melbourne 3010, AustraliaAcute aortic syndromes, including aortic dissection (AD), are rare. The AD detection risk score (ADDRS) and associated investigation pathway were developed to reduce missed diagnosis of AD. The methodology for its development was sub-optimal and it has not been robustly validated in the emergency department chest pain population. Recent research suggests that it will drive over-investigation and that the risks of missed diagnosis may not be in balance with the risks of the testing strategy. There are serious doubts about whether the score and investigation pathway are fit for purpose.https://www.explorationpub.com/Journals/em/Article/100153risk scoreaortic dissectionclinical decision rule
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Anne-Maree Kelly
spellingShingle	Anne-Maree Kelly Why the aortic dissection detection risk score is problematic in emergency departments Exploration of Medicine risk score aortic dissection clinical decision rule
author_facet	Anne-Maree Kelly
author_sort	Anne-Maree Kelly
title	Why the aortic dissection detection risk score is problematic in emergency departments
title_short	Why the aortic dissection detection risk score is problematic in emergency departments
title_full	Why the aortic dissection detection risk score is problematic in emergency departments
title_fullStr	Why the aortic dissection detection risk score is problematic in emergency departments
title_full_unstemmed	Why the aortic dissection detection risk score is problematic in emergency departments
title_sort	why the aortic dissection detection risk score is problematic in emergency departments
publisher	Open Exploration Publishing Inc.
series	Exploration of Medicine
issn	2692-3106
publishDate	2021-08-01
description	Acute aortic syndromes, including aortic dissection (AD), are rare. The AD detection risk score (ADDRS) and associated investigation pathway were developed to reduce missed diagnosis of AD. The methodology for its development was sub-optimal and it has not been robustly validated in the emergency department chest pain population. Recent research suggests that it will drive over-investigation and that the risks of missed diagnosis may not be in balance with the risks of the testing strategy. There are serious doubts about whether the score and investigation pathway are fit for purpose.
topic	risk score aortic dissection clinical decision rule
url	https://www.explorationpub.com/Journals/em/Article/100153
work_keys_str_mv	AT annemareekelly whytheaorticdissectiondetectionriskscoreisproblematicinemergencydepartments
_version_	1721182859174084608

Why the aortic dissection detection risk score is problematic in emergency departments

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