Why the study?
Does the introduction of a high-sensitivity troponin assay improve the detection of myocardial infarction and alter clinical management in patients presenting to the ED?
Population
13,892 patients presenting to the Royal Melbourne Hospital ED who had a troponin test in the 12 months…
Comparison
High-sensitivity troponin (hs-Tn) assay vs Conventional troponin assay
Design
Cohort
Authors
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Hs-Tn introduction raised abnormal troponin rates while shortening ED stays; leaves open net effect on unnecessary testing or admissions.
Does the introduction of a high-sensitivity troponin assay improve the detection of myocardial infarction and alter clinical management in patients presenting to the ED?
The introduction of a high-sensitivity troponin assay in the ED increased hospital admissions without improving the detection of acute myocardial infarction or changing revascularization rates.
Peck et al. (2016) studied this question.
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