Table 2.
Category | Elements |
Demographics | Unique patient ID, sex, age, marital status, nationality, occupation, education, insurance payer, mode of arrival |
Risk factors | Tobacco use, family history of premature CAD, diabetes, hypertension, hyperlipidaemia, renal insufficiency, chronic lung disease |
Medical history | Angina, MI, catheterisation with stenosis ≥50%, revascularisation, heart failure, PAD, cerebrovascular events (stroke), use of aspirin within 7 days |
Prehospital care | Time of symptoms onset, time of decision to seek physician, prehospital medication and ECG examination |
ED presentation | Character of chief complaint, associated symptoms, time course of symptom complex, vital signs at time of presentation, evidence of heart failure, height, weight, time of arrival |
Initial evaluation | Serial ECGs and timing, ECG interpretation, serial cardiac markers and timing, values of cardiac markers, estimated risk level, initial diagnostic impression |
Further diagnostic testing | Stress testing, non-invasive angiogram, chest X-ray, UCG, diagnostic coronary angiography |
Patient course | Medications given in ED, reperfusion therapies for ACS (thrombolysis, primary PCI and CABG surgery), triage in ED, costs in ED, triage after ED |
Outcomes | MACE (death from all causes, non-fatal AMI, urgent revascularisation, stroke, cardiac arrest, cardiogenic shock), ED revisiting, rehospitalisation |
Primary measures | The time to first ECG; receipt of troponin testing; receipt of primary reperfusion therapy for ST segment elevation ACS; provision of angiography for troponin-positive patients |
Secondary measures | Receipt of non-invasive cardiac imaging tests for patients with suspected ACS, definite ACS, troponin-positive test and ischaemia in initial ECG; receipt of angiography for patients with suspected ACS, definite ACS and ischaemia in initial ECG; receipt of reperfusion therapy for patients with suspected ACS, definite ACS, troponin-positive test and ischaemia in initial ECG; hospital admission rate |
ACS, acute coronary syndrome; AMI, acute myocardial infarction; CABG, coronary artery bypass grafting; CAD, coronary artery disease; ED, emergency department; ID, identity document; MACE, major adverse cardiac event; MI, myocardial infarction; PAD, peripheral artery disease; PCI, percutaneous coronary intervention; UCG, ultrasonic cardiogram.