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Cardiac (non-arrest)

SCARE score validates for chest pain triage

External Validation of the SCARE Score for Predicting Acute Myocardial Infarction in Patients Calling Emergency Medical Communication Centers: A Prospective Multicenter Study
Prehospital Emergency Care · Added 4 June 2026

They prospectively validated the SCARE score for predicting acute myocardial infarction during telephone triage across multiple French emergency communication centers, finding good discrimination and calibration but noting limitations in real-world implementation.

Study type

Cohort

Design

Prospective multicentre observational validation cohort

Participants

2,042 adults hospitalised after EMCC calls for non-traumatic chest pain

Main finding

265 (13.0%) had AMI; SCARE AUROC 0.85 (95% CI 0.82-0.87), AUROC 0.84 in men and 0.89 in women; at >35 points sensitivity 73.6%, specificity 75.3%, NPV 95.0%

Caveat

Score not used in real time and did not influence dispatch; French physician-staffed dispatch centres, so applicability to non-physician dispatch systems untested

Bottom line

Hypothesis-generating

Learning goal

Weigh how structured chest pain telephone triage tools could strengthen my recognition of acute myocardial infarction risk.

More

• Topic: Cardiac (non-arrest)
• Daily scan: 4 June 2026

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