A tool for judging coronary care unit admission appropriateness, valid for both real-time and retrospective use. A time-insensitive predictive instrument (TIPI) for acute cardiac ischemia: a multicenter study.

Field Value
Model ID91-012-01
Model NameSelker Time-Insensitive Predictive Instrument (TIPI)
Pubmed ID2072767
First AuthorSelker
JournalMedical Care
Year1991
TitleA tool for judging coronary care unit admission appropriateness, valid for both real-time and retrospective use. A time-insensitive predictive instrument (TIPI) for acute cardiac ischemia: a multicenter study.
Primary Index ConditionChest Pain
Secondary Index ConditionAcute Coronary Syndrome (ACS)
OutcomeAcute Coronary Syndrome (ACS)
Model Sample Size3453
Cohort Sample Size3453
Number of Events1251
Follow-Up DurationDiagnosis
AUROC0.89
Calibration Reported1
CovariatesConstant; Chest or left arm pain/pressure present; Chest or left arm pain chief complaint; Male sex; Age: patient age 40 yrs or less; Age: patient age greater than 50 yrs; Male patient, age greater than 50 yrs; ECG Q waves present; ECG S-T segment elevated 2 mm or more; ECG S-T segment elevated 1-2 mm; ECG S-T segment depressed 2 mm or more; ECG S-T segment depressed 1-2 mm; ECG S-T segment depressed 0.5-1.0 mm; ECG T-waves elevated ("hyperacute"); ECG T-waves inverted 5 mm or more; ECG T-waves inverted 1-5mm; ECG T-waves flat; Both S-T segment depression and ECG T-waves inverted
Mesh TermsTo be updated
Number of Validations2

External Validations

Yes
2
0.895
1st Author Year Sample Size AUC Calibration Relatedness
Selker 1991 2320 0.88 Yes N/A
Kellett 1997 600 0.91 No N/A