Bösner Chest Pain Decision Tool

Cardiovascular
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Bösner clinical decision rule to predict Coronary Artery Disease as a cause of chest pain
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Factors:

[select name="agesex" value="yes (1 point)=1|no (0 points)=0"] <-- Man 55 years or older OR Woman 65 years or older
[select name="vascular" value="yes (1 point)=1|no (0 points)=0"] <-- Known vascular disease (CAD, occlusive vascular disease, cerebrovascular disease)
[select name="exercise" value="yes (1 point)=1|no (0 points)=0"] <-- Pain worse with exercise
[select name="palpation" value="yes (1 point)=1|no (0 points)=0"] <-- Pain NOT elicited with palpation
[select name="assume" value="yes (1 point)=1|no (0 points)=0"] <-- Patient assumes pain is of cardiac origin
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Score --> [calc value="score1=(agesex)+(vascular)+(exercise)+(palpation)+(assume)" memo="number"] / 5
Interpretation (Likelihood that chest pain is cardiac) --> [calc value="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'" memo="result"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference: [link url="http://www.ncbi.nlm.nih.gov/pubmed/20603345" memo="Bösner (2010) CMAJ. 182:1298"][/conditional]
Bösner clinical decision rule to predict Coronary Artery Disease as a cause of chest pain
.....................................................................................................
Factors:

<-- Man 55 years or older OR Woman 65 years or older
<-- Known vascular disease (CAD, occlusive vascular disease, cerebrovascular disease)
<-- Pain worse with exercise
<-- Pain NOT elicited with palpation
<-- Patient assumes pain is of cardiac origin
.....................................................................................................

Score --> numberscore1=(agesex)+(vascular)+(exercise)+(palpation)+(assume) / 5
Interpretation (Likelihood that chest pain is cardiac) --> resultscore=(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
Result - Copy and paste this output:

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