1704 Feasibility of implementing a 0-2 troponin algorithm in routine clinical practice

Conclusion 728 sets of serial samples where obtained on 711 patients, 40.1% female median age 61.8 years,(interquartile range 50.6–75). Comparison of classification is shown in table 1. Overall agreement was good but there were 6 cases where a positive 3 hour delta occurred with a 2 hour delta of 3 or less. 4 had values exceeding the 99th percentile on the admission sample so would have been retained for further investigation. The remaining 4 patients had co-existing clinical conditions that required further investigation. Abstract 1704 Table 1 Classification Delta ≤3 at 2 h Delta >3 at 2 h Delta ≤7 at 3 hours55837Delta >7 at 3 hours635 Abstract 1704 Figure 1 Conclusion The routine use of serial sampling at admission and 2 hours was clinically safe and resulted in the same clinical decisions in the context of the busy ED environment for the population served by the hospital.
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: RCEM Moderated Papers Source Type: research