Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU)
Introduction: Several studies have attempted to demonstrate that the Thrombolysis in Myocardial Infarction (TIMI) risk score has the ability to risk stratify emergency department (ED) patients with potential acute coronary syndromes (ACS). Most of the studies we reviewed relied on trained research i...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2014-11-01
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| Series: | Western Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://escholarship.org/uc/item/5jb651xg |
| _version_ | 1818025533326229504 |
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| author | Taylor, Brian T. Mancini, Michelino |
| author_facet | Taylor, Brian T. Mancini, Michelino |
| author_sort | Taylor, Brian T. |
| collection | DOAJ |
| description | Introduction: Several studies have attempted to demonstrate that the Thrombolysis in Myocardial Infarction (TIMI) risk score has the ability to risk stratify emergency department (ED) patients with potential acute coronary syndromes (ACS). Most of the studies we reviewed relied on trained research investigators to determine TIMI risk scores rather than ED providers functioning in their normal work capacity. We assessed whether TIMI risk scores obtained by ED providers in the setting of a busy ED differed from those obtained by trained research investigators.
Methods: This was an ED-based prospective observational cohort study comparing TIMI scores obtained by 49 ED providers admitting patients to an ED chest pain unit (CPU) to scores generated by a team of trained research investigators. We examined provider type, patient gender, and TIMI elements for their effects on TIMI risk score discrepancy.
Results: Of the 501 adult patients enrolled in the study, 29.3% of TIMI risk scores determined by ED providers and trained research investigators were generated using identical TIMI risk score variables. In our low-risk population the majority of TIMI risk score differences were small; however, 12% of TIMI risk scores differed by two or more points.
Conclusion: TIMI risk scores determined by ED providers in the setting of a busy ED frequently differ from scores generated by trained research investigators who complete them while not under the same pressure of an ED provider. [West J Emerg Med. 2015;16(1):24–33.] |
| first_indexed | 2024-12-10T04:17:37Z |
| format | Article |
| id | doaj.art-003137bd14914ea1842aa5e8b7494ee2 |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-12-10T04:17:37Z |
| publishDate | 2014-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-003137bd14914ea1842aa5e8b7494ee22022-12-22T02:02:33ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182014-11-01161243310.5811/westjem.2014.9.21685Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU)Taylor, Brian T.0Mancini, Michelino1Lakeland HealthCare, Department of Emergency Medicine, St. Joseph MI, Department of Emergency Medicine, Saint Joseph, MichiganLakeland HealthCare, Department of Emergency Medicine, St. Joseph MI, Department of Emergency Medicine, Saint Joseph, MichiganIntroduction: Several studies have attempted to demonstrate that the Thrombolysis in Myocardial Infarction (TIMI) risk score has the ability to risk stratify emergency department (ED) patients with potential acute coronary syndromes (ACS). Most of the studies we reviewed relied on trained research investigators to determine TIMI risk scores rather than ED providers functioning in their normal work capacity. We assessed whether TIMI risk scores obtained by ED providers in the setting of a busy ED differed from those obtained by trained research investigators. Methods: This was an ED-based prospective observational cohort study comparing TIMI scores obtained by 49 ED providers admitting patients to an ED chest pain unit (CPU) to scores generated by a team of trained research investigators. We examined provider type, patient gender, and TIMI elements for their effects on TIMI risk score discrepancy. Results: Of the 501 adult patients enrolled in the study, 29.3% of TIMI risk scores determined by ED providers and trained research investigators were generated using identical TIMI risk score variables. In our low-risk population the majority of TIMI risk score differences were small; however, 12% of TIMI risk scores differed by two or more points. Conclusion: TIMI risk scores determined by ED providers in the setting of a busy ED frequently differ from scores generated by trained research investigators who complete them while not under the same pressure of an ED provider. [West J Emerg Med. 2015;16(1):24–33.]http://escholarship.org/uc/item/5jb651xgClinician and Research AssistantTIMI Score Calculation |
| spellingShingle | Taylor, Brian T. Mancini, Michelino Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) Western Journal of Emergency Medicine Clinician and Research Assistant TIMI Score Calculation |
| title | Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) |
| title_full | Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) |
| title_fullStr | Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) |
| title_full_unstemmed | Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) |
| title_short | Discrepancy Between Clinician and Research Assistant in TIMI Score Calculation (TRIAGED CPU) |
| title_sort | discrepancy between clinician and research assistant in timi score calculation triaged cpu |
| topic | Clinician and Research Assistant TIMI Score Calculation |
| url | http://escholarship.org/uc/item/5jb651xg |
| work_keys_str_mv | AT taylorbriant discrepancybetweenclinicianandresearchassistantintimiscorecalculationtriagedcpu AT mancinimichelino discrepancybetweenclinicianandresearchassistantintimiscorecalculationtriagedcpu |