ADAPT v.1
ADAPT Protocol for Cardiac Event Risk
To record scores calculated by the ADAPT Protocol for Cardiac Event Risk assessesing chest pain patients at 2 hours for risk of cardiac event.
The ADAPT Score and Accelerated Diagnostic Protocol can be used to evaluate patients with chest pain and potentially identify 20% of patients who are low-risk and can be evaluated with a 0-hour and 2-hour troponin test along with EKG and TIMI Risk Scores (for STEMI and UA/NSTEMI). The ADAPT protocol helps stratifying chest pain patients according to the risk of having major cardiac events. The risk groups are defined as: Observation Risk group Risk of major adverse cardiac event (MACE) in 30 days Normal troponin, normal EKG and TIMI 0 Low 0-0.3% Normal troponin, normal EKG and TIMI >0 Intermediate 0.8% Abnormal troponin or abnormal EKG and any TIMI High 15.3%
[1] Than M, et. al. 2-Hour Accelerated Diagnostic Protocol to Assess Patients With Chest Pain Symptoms Using Contemporary Troponins as the Only Biomarker : The ADAPT Trial. J Am Coll Cardiol. 2012 Jun 5;59(23):2091-8. doi: 10.1016/j.jacc.2012.02.035. Epub 2012 May 9. [2] Cullen L, Mueller C, Parsonage WA, Wildi K, Greenslade JH, Twerenbold R,Aldous S, Meller B, Tate JR, Reichlin T, Hammett CJ, Zellweger C, Ungerer JP, Rubini Gimenez M, Troughton R, Murray K, Brown AF, Mueller M, George P, Mosimann T, Flaws DF, Reiter M, Lamanna A, Haaf P, Pemberton CJ, Richards AM, Chu K, Reid CM, Peacock WF, Jaffe AS, Florkowski C, Deely JM, Than M. Validation of high-sensitivity troponin I in a 2-hour diagnostic strategy to assess 30-day outcomes in emergency department patients with possible acute coronary syndrome. J Am Coll Cardiol. 2013 Oct 1;62(14):1242-9. doi: 10.1016/j.jacc.2013.02.078. Epub 2013 Apr 10. PubMed PMID: 23583250.
openEHR-EHR-OBSERVATION.basic_demographic, openEHR-EHR-OBSERVATION.timi_risk_ua_nstemi, openEHR-EHR-EVALUATION.adapt_assignment, openEHR-EHR-OBSERVATION.adapt
