Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Multicenter Study
The incremental benefit of a shortness-of-breath biomarker panel in emergency department patients with dyspnea.
The objective was to determine the incremental benefit of a shortness-of-breath (SOB) point-of-care biomarker panel on the diagnostic accuracy of emergency department (ED) patients presenting with dyspnea. ⋯ The addition of the SOB panel of markers did not improve the AUC for diagnosing the combined set of clinical conditions. Using the disease-specific SOB biomarkers increased the sensitivity on a disease-by-disease basis; however, specificity was reduced.
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Multicenter Study
Multicenter validation of the Philadelphia EMS admission rule (PEAR) to predict hospital admission in adult patients using out-of-hospital data.
The objective was to validate a previously derived prediction rule for hospital admission using routinely collected out-of-hospital information. ⋯ The ability of this EMS rule to predict the likelihood of hospital admission appears valid in this multicenter cohort. Further studies are needed to measure the impact and feasibility of using this rule to guide decision-making.