Impact of a rapid high-sensitivity troponin pathway on patient flow in an urban emergency department.

ABSTRACT:

Study objective

To evaluate whether the introduction of a 1-hour high-sensitivity cardiac troponin-T (hs-TnT) pathway for patients who present to the emergency department (ED) with suspected acute coronary syndrome (ACS) improves ED patient flow without changing the rate of "missed" major adverse cardiac events (MACE), compared to use of conventional cardiac troponin with an associated 3-hour pathway.

Methods

This was a prospective, uncontrolled observational study conducted before and after implementation of a 1-hour hs-TnT pathway at a high-volume urban ED. Patients undergoing evaluation for ACS in the ED were enrolled during their initial visit and clinical outcomes were assessed at 30 and 90 days. Throughput markers were extracted from the electronic medical record and c

SUBMITTER: Suh EH 

PROVIDER: S-EPMC9071237 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature