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Table 4 Performance accuracy comparisons between HEART and HEART2 score predicting MACE outcomes among chest pain patients with previous CIT performed

From: Using HEART2 score to risk stratify chest pain patients in the Emergency Department: an observational study

 

HEART

HEART2

P value

Number of patients

Positive MACE

Number of patients

Positive MACE

Low-risk—n (%)

716 (38.2)

16 (2.2)

1040 (55.5)

32 (3.1)

0.3021

Moderate-risk—n (%)

1081 (57.7)

90 (8.3)

739 (39.4)

67 (9.1)

0.6103

High-risk—n (%)

77 (4.1)

22 (28.6)

95 (5.1)

29 (30.5)

0.8671

Patients with Low-risk scores for MACE outcome predictions

 Sensitivity (%, 95% CI)

87.5 (80.5–92.7)

75.0 (66.6–82.2)

 

 Specificity (%, 95% CI)

40.1 (37.8–42.4)

57.7 (55.4–60.1)

 

 PPV (%, 95% CI)

9.7 (8.0–11.5)

11.5 (9.4–13.9)

 

 NPV (%, 95% CI)

97.8 (96.4–98.7)

96.9 (95.797.9)

 

Overall performance accuracy (AUC)

 Include missing follow-up patients

0.71 (0.67–0.75)

0.74 (0.70–0.79)

0.0082

 Exclude missing follow-up patients

0.71 (0.67–0.76)

0.75 (0.71–0.79)

0.0037

 Imputed missing follow-up patients

0.71 (0.67–0.75)

0.73 (0.70–0.77)

0.0266