Use of Global Registry of Acute Coronary Events (GRACE) scoring in the management of chest pain patients with suspected acute coronary syndrome in the emergency department ; Acil serviste akut koroner sendrom şüphesi olan göğüs ağrılı hastaların yönetiminde Global Registry of Acute Coronary Events(GRACE) skorlamasının kullanımı

Aim: Acute coronary syndrome (ACS) has been developed as a useful operational term to refer to a range of disorders consistent with acute myocardial ischemia and/or infarction, usually due to a sudden decrease in coronary blood flow. Global Registry of Acute Coronary Events (GRACE) is an international database designed to monitor the outcomes of patients presenting with Non-ST-elevation Myocardial Infarction (NSTEMI) and unstable angina pectoris. The aim of this study is to determine the use of GRACE scoring in predicting major cardiac events in outpatients with chest pain and to evaluate the effects it may have on the patient's follow-up period and number of examinations in the emergency department when applied to patient management.Material and Methods: Adult patients (>18 years old) who applied to our emergency department and patients with suspected chest pain of cardiac origin in the hospital or before the hospital were included in the study, and clinical, anamnesis data and coronary artery disease risk factors were recorded prospectively. The information of patients with GRACE score data was obtained with "The GRACE 2.0 ACS Risk Calculator app" running on the iOS operating system. All patients were followed for major cardiac events (acute myocardial infarction, percutaneous coronary intervention, coronary artery bypass surgery, and death from any cause) within 6 weeks from the first admission.Results: Of the 167 patients admitted to the emergency department, 117 were men (70.1%) and 50 were women (29.9%). No statistically significant relationship was found between the numerical values of GRACE scores and the development of major cardiac event (MCO) (p = 0.358, t = -.922). On the other hand, when the difference in GRACE scores was evaluated between patients with two negative troponin values and other patients, a significant difference was found (p = 0.02). When the follow-up periods in the emergency department were compared between patients whose troponin values were found ...