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Original Article



Analysis of patients presenting with chest pain in the emergency department using laboratory parameters and scoring in the prediction of acute coronary syndrome hospitalization

Kazim Ersin Altinsoy, Hakan Ozerol.



Abstract
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This study aimed to identify predictive factors that assist in the accurate triage of patients presenting with chest pain, supporting effective hospitalization decisions, clinical judgment, and optimized use of emergency department (ED) resources. A retrospective analysis was performed on 200 adult patients presenting with chest pain to the ED at Gaziantep City Hospital between December 2023 and January 2025. Patients were grouped into discharged (n=120) and hospitalized (n=80) categories. Demographic data, symptoms, laboratory results, electrocardiogram (ECG) findings, and clinical risk scores (History, ECG, Age, Risk Factors, Troponin (HEART) and Thrombolysis in Myocardial Infarction (TIMI)) were collected and analyzed. Independent predictors of hospitalization were identified using multivariable logistic regression. Hospitalized patients were generally older (median age 72 vs. 58, p

Key words: Chest pain, emergency medicine, hospitalization, risk assessment, risk stratification

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09101112010203040506
20252026

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The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.