{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:03:11Z","timestamp":1790254991223,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021841","name":"Western Australian Health Translation Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021841","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe emergency department (ED) chest pain presentations and outcomes, and sex\u2010based differences in Western Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study using linked ED, hospital, morbidity, mortality, and pathology data from the Western Australian Data Linkage System as part of the AUS\u2010MOCHA project. We included the index presentation for adults presenting with non\u2010traumatic chest pain between January 2016 and October 2020. Comorbidities were identified via a 10\u2010year lookback of linked morbidity data. The primary outcome was diagnosis of acute coronary syndrome (ACS) or all\u2010cause death within 30\u2009days of ED discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 64,404 patients (mean age 54.8\u2009years, 49.2% female). Most presented \u2018out\u2010of\u2010hours\u2019 (62.2%) and received an Australasian Triage Scale (ATS) Category of 2 (85.2%). Females were less likely to receive an ATS 1 and more likely to receive ATS 3 or 4. This difference persisted after propensity matching. However, males were more comorbid and had a higher incidence of 30\u2010day outcomes than females. There was no statistically significant difference in ATS categories between males and females when assessing a propensity matched cohort of only those who experienced 30\u2010day outcome. Among patients discharged home from the ED, 0.4% were diagnosed with ACS and 0.1% died within 30\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who were discharged home from EDs had a low risk of subsequent ACS or death within 30\u2009days. Females were triaged less urgently than males, yet had lower 30\u2010day ACS and death rates. Among patients with 30\u2010day outcomes, triage scores did not differ by sex.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70235","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T06:26:44Z","timestamp":1771568804000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010Term Outcomes and Sex\u2010Based Analysis Following Chest Pain Presentations to Emergency Departments in Western Australia\u2014An\n                    <scp>AUS<\/scp>\n                    \u2010\n                    <scp>MOCHA<\/scp>\n                    Substudy"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7322-0106","authenticated-orcid":false,"given":"Jonathon","family":"Stewart","sequence":"first","affiliation":[{"name":"Medical School, The University of Western Australia  Crawley Western Australia Australia"},{"name":"Harry Perkins 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