Adherence to Accelerated Diagnostic Protocol for Chest Pain in Five Emergency Departments in Canada.

ABSTRACT:

Introduction

In this study we sought to to assess the extent to which emergency physicians adhered to an institutional protocol for rapid chest pain assessment that incorporates a high sensitivity troponin I (hs-TnI) assay. We also sought to characterize clinical outcomes stratified by protocol adherence.

Methods

We conducted a retrospective cohort study that included all adult patients presenting to five major metropolitan hospital emergency departments (ED) with suspected cardiac chest pain who had at least one troponin measured. The study period was November 9, 2020-June 20, 2022. The primary outcome was protocol adherence for indeterminate-risk and high-risk patients, as defined by the protocol in use at the time of each patient's presentation to hospital. Adjusted odds

SUBMITTER: Hill J 

PROVIDER: S-EPMC12815536 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature