Facility Variation in Troponin Ordering Within the Veterans Health Administration.

ABSTRACT:

Background

Current United States guidelines recommend troponin as the preferred biomarker in assessing for acute coronary syndrome, but recommendations are limited about which patients to test. Variations in troponin ordering may influence downstream health care utilization.

Methods

We performed a cross-sectional analysis of 3,308,131 emergency department (ED) visits in all 121 acute care facilities within the Veterans Health Administration from 2015 to 2017. We quantified the degree to which case mix and facility characteristics accounted for variations in facility rates in troponin ordering. We then assessed the association between facility quartiles of risk-adjusted troponin ordering and downstream resource utilization [inpatient admissions, noninvasive testing (stress te

SUBMITTER: Chui PW 

PROVIDER: S-EPMC7666100 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature