Key result
The introduction of troponin measurement and the new AMI definition led to a 20% increase in CCU admissions, driven by a 141% increase in the burden of NSTEMI (p < 0.01).
Why the study?
Does the introduction of troponin measurement and the new AMI definition change CCU case load, management, and outcomes in patients admitted to the CCU?
Population
2,494 patients admitted to the coronary care unit of a tertiary care university hospital during the year…
Comparison
Introduction of troponin measurement and the new… vs Period before the introduction of troponin…
Design
Cohort
Follow-up
30-day
Authors
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May increase CCU admissions via NSTEMI reclassification; leaves open effects on outcomes and resource needs in contemporary practice.
Cohort (n=2,494)
No
Does the introduction of troponin measurement and the new AMI definition change CCU case load, management, and outcomes in patients admitted to the CCU?
p-value: p=<0.01
The new AMI definition and troponin testing dramatically increased CCU case load and NSTEMI diagnoses while reducing length of stay.
Amit et al. (2004) conducted a cohort in Acute myocardial infarction (AMI) (n=2,494). Introduction of troponin measurement and the new AMI definition vs. Period before introduction (year 2000) was evaluated on Burden of non-ST elevation AMI (NSTEMI) (p=<0.01). The introduction of troponin measurement and the new AMI definition led to a 20% increase in CCU admissions, driven by a 141% increase in the burden of NSTEMI (p < 0.01).
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