ICare-FASTER is a stepped-wedge, cluster-randomised controlled trial investigating the safety and effectiveness of implementing high-sensitivity point-of-care troponin as the default troponin test in emergency departments of varying sizes. It is one of the largest studies of its type ever conducted (60,000 patients) and demonstrates conclusively that the point-of-care approach is both safe (event rate 0.39% before and after) and effective, reducing mean emergency department stay by 47 mins.
Dr. Martin Than
Emergency Medicine Specialist · Christchurch Hospital, New Zealand
Early decision-making using a point-of-care high-sensitivity troponin assay within a structured clinical pathway was safe. Faster turnaround means troponin results are consistently available when clinicians first seek them. This can facilitate earlier decisions and reduce patient length of stay.
ICare-FASTER (Improving Care by Faster Risk Stratification Through Use of High-Sensitivity Point-of-Care Troponin in Patients Presenting With Possible Acute Coronary Syndrome in the Emergency Department): A Stepped-Wedge Cluster-Randomized Trial
CirculationThan et al.

