Emergency Department Detection of Chest Pain Score (EDACS)

Identifies chest pain patients at low-risk for major adverse cardiac events

Questions

1.Age?
2.Gender?
3.Is the patient age 18-50 AND has known coronary artery disease (CAD) or ≥3 risk factors?
4.Diaphoresis?
5.Pain radiates to arm, shoulder, neck, or jaw?
6.Pain occurred or worsened with inspiration?
7.Pain reproduced by palpation?

About

The Emergency Department (ED) Detection of Chest Pain Score (EDACS) is a derived and validated accelerated diagnostic protocol designed to identify patients with chest pain who are low-risk for major adverse cardiac events (MACE). In conjunction with an EKG showing no new ischemia and two negative troponins (at 0- and 2-hours), this tool is >99% sensitive for MACE and allows for safe discharge from the ED with outpatient follow-up as appropriate.

The score was derived1 in 2014, and compared to another CDR for chest pain in a prospective RCT2 of 558 patients.. The negative predictive value (NPV) in this comparison and subsequent validation study3 was 100%. EDACS is a highly sensitive tool that can reduce patient length of stay and improve identification of low-risk patients presenting with chest pain to the emergency department.

Variable & Associated Points

Age scored as per below, must be 18 or older

  • 18 - 45 (+2)
  • 46 - 50 (+4)
  • 51 - 55 (+6)
  • 56 - 60 (+8)
  • 61 - 65 (+10)
  • 66 - 70 (+12)
  • 71 - 75 (+14)
  • 76 - 80 (+16)
  • 81 - 85 (+18)
  • ≥86 (+20)

Sex M/F (male +6; female 0)

Age 18-50 AND known coronary artery disease (CAD) or ≥3 risk factors (Yes +4; No 0)

CAD defined by: previous ACS, previous CABG, or previous PCI

Risk factors defined by: hypertension, dyslipidemia, diabetes, current smoker, family history of early CAD

Diaphoresis (Yes +3, No 0)

Pain radiates to arm, shoulder, neck, or jaw (Yes +5, No 0)

Pain occurred or worsened with inspiration (Yes -4, No 0)

Pain reproduced by palpation (Yes -6, No 0)

The total EDACS score is determined by the sum of variables listed above.

Created by on 21/01/2020

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1. Age?

years
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