CLINIBORG
About
Categories
Privacy Policy
Terms
Bösner Chest Pain Decision Tool
Dec 21, 2024
•
Mark Morgan
categories:
cardiology
This is a chest pain decision tool.
Bösner clinical decision rule to predict Coronary Artery Disease as a cause of chest pain
.....................................................................................................
Factors:
yes (1 point)
no (0 points)
<-- Man 55 years or older OR Woman 65 years or older
yes (1 point)
no (0 points)
<-- Known vascular disease (CAD, occlusive vascular disease, cerebrovascular disease)
yes (1 point)
no (0 points)
<-- Pain worse with exercise
yes (1 point)
no (0 points)
<-- Pain NOT elicited with palpation
yes (1 point)
no (0 points)
<-- Patient assumes pain is of cardiac origin
.....................................................................................................
Score -->
number
score1=(agesex)+(vascular)+(exercise)+(palpation)+(assume)
/ 5
Interpretation (Likelihood that chest pain is cardiac) -->
result
score=(agesex)+(vascular)+(exercise)+(palpation)+(assume); score>3?'CAD prevalence 63%, Positive likelihood ratio 4.52 and Negative likelihood ratio 0.16':score>1?'Positive likelihood ratio 1.83 and Negative likelihood ratio 0.03':'CAD prevalence 1%, Positive likelihood ratio 1.09 and Negative likelihood ratio 0.0'
display/hide references
reference:
#1
Bösner S, Haasenritter J, Becker A, Karatolios K, Vaucher P, Gencer B, Herzig L, Heinzel-Gutenbrunner M, Schaefer JR, Abu Hani M, Keller H, Sönnichsen AC, Baum E, Donner-Banzhoff N. Ruling out coronary artery disease in primary care: development and validation of a simple prediction rule. CMAJ. 2010 Sep 7;182(12):1295-300.
Calculate The Result!
Reset Form
Result - Copy and paste this output:
Copy to Clipboard
Please enable JavaScript to view the
comments powered by Disqus.