Implementation and evaluation of a rural general practice assessment pathway for possible cardiac chest pain using point-of-care troponin testing: a pilot study.

ABSTRACT:

Objectives

To assess the feasibility and acceptability, and additionally to preliminarily evaluate, the effectiveness and safety of an accelerated diagnostic chest pain pathway in rural general practice using point-of-care troponin to identify patients at low risk of acute myocardial infarction, avoiding unnecessary patient transfer to hospital and enabling early discharge home.

Design

A prospective observational pilot evaluation.

Setting

Twelve rural general (family) practices in the Midlands region of New Zealand.

Participants

Patients aged ≥18 years who presented acutely to rural general practice with suspected ischaemic chest pain for whom the doctor intended transfer to hospital for serial troponin measurement.

Outcome measures

The proportion of pat

SUBMITTER: Norman T 

PROVIDER: S-EPMC9013998 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature