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 |
18–45 46–50 51–55 56–60 61–65 66–70 71–75 76–80 81–85 >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 |