Comparison Between Emergency Severity Index Plus Cardiac Troponin I Rapid Test and Emergency Severity Index in Patients Presenting with Low-risk Chest Pain: A Randomized Clinical Trial

Background: There is difficulty in identifying low-risk patients with acute coronary syndrome the emergency department (ED). Objectives: The aim of this study was to compare mistriage between Emergency Severity Index (ESI) plus cardiac troponin I rapid test (cTnI) and ESI among chest pain. Methods: A randomized clinical trial conducted from January April 2019. One hundred pain were randomly allocated + cTnI groups. Triage levels, used resources, rate compared both groups discharged ED admitted unit (CU) or care (CCU). Results: Our samples included 100 (age: 52.9 ± 13.92 years; 51% female) who equally assigned Overtriage 6% 88% for groups, respectively. triage level significantly different (3.92 vs. 3.00). Conclusions: score seems be more valid than scale It recommended add ED.