Providing Rapid Out of Hospital Acute Cardiovascular Treatment 4 (PROACT‐4)
Why the study?
Does pre-hospital point-of-care troponin testing reduce the time to final disposition in patients with chest pain presenting by ambulance?
Population
601 patients with chest pain presenting by ambulance
Comparison
Pre-hospital high-sensitivity point-of-care… vs Usual care
Design
RCT, Randomized to usual care or POC-Troponin
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
Supports pre-hospital POC troponin for modestly faster ED disposition in chest pain; extends RCT evidence for ambulance-based testing.
Structured PICO
Does pre-hospital point-of-care troponin testing reduce the time to final disposition in patients with chest pain presenting by ambulance?
P
Population
601 patients with chest pain presenting by ambulance (excluding ST-elevation myocardial infarction or noncardiovascular symptoms)
I
Intervention
Pre-hospital high-sensitivity point-of-care (POC) troponin testing in the ambulance
C
Comparator
Usual care
O
Outcome
Time from first medical contact to discharge from emergency department or admission to hospital
Pre-hospital point-of-care troponin testing in ambulances modestly accelerates the time to final emergency department disposition for patients with chest pain.
Cite This Study
Ezekowitz et al. (2015) studied this question.