EDACS-ADP Pathway
The Emergency Department Assessment of Chest Pain and Accelerated Diagnostic Protocol (EDACS-ADP) was developed across Australian and New Zealand hospitals as a tool to predict the short term risk of major adverse cardiac events (MACE) in patients presenting with possible chest pain. They then aimed to develop a pathway that could be used to identify a subgroup of adults presenting to the ED with a low short-term risk of MACE, who could then be safe for early discharge and outpatient follow-up.
| Age | 1845 4650 5155 5660 6165 6670 7175 7680 8185 >86 | 2 points 4 points 6 points 8 points 10 points 12 points 14 points 16 points 18 points 20 points |
| Sex | Male | 6 points |
| High Risk groups within 18-50 age group | Known coronary artery disease (Previous MI, angina, percutaneous catheterization) or 3 risk factors present (diabetes mellitus, dyslipidaemia, family history of coronary artery disease, hypertension, current smoker) | 4 points |
| Signs and Symptoms | Pain occurs or worsened with inspiration Pain reproduced by palpation Diaphoresis (associated with pain) Pain radiates to arm or shoulder | 4 points 6 points 3 points 5 points |
| EDACS ADP | ||
| Low risk | EDACS <16 No new ischaemia on ECG 0 & 2h troponin both negative | Recommendation Safe to discharge |
| Not Low Risk | EDACS >16 New ischaemia on ECG Either 0h / 2h troponin positive | Recommendation Proceed with further observation and delayed troponin |