Implementation and evaluation of a rural general practice assessment pathway for possible cardiac chest pain using point-of-care troponin testing: a pilot study

• Published in: BMJ open Vol. 12; no. 4; p. e044801
• Main Authors: Norman, Tim, Young, Joanna, Scott Jones, Jo, Egan, Gishani, Pickering, John, Du Toit, Stephen, Hamilton, Fraser, Miller, Rory, Frampton, Chris, Devlin, Gerard, George, Peter, Than, Martin
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 15.04.2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Acute coronary syndromes; Adolescent; Adult; Angina Pectoris; Biomarkers; Cardiovascular disease; Cardiovascular Medicine; Chest Pain - diagnosis; Chest Pain - etiology; Clinical outcomes; coronary heart disease; Electrocardiography; Emergency medical care; Emergency Service, Hospital; General Practice; Heart attacks; Hospitals; Humans; Ischemia; Laboratories; myocardial infarction; Pain; Patient satisfaction; Pilot Projects; Point-of-Care Systems; primary care; Prospective Studies; protocols & guidelines; Risk Assessment - methods; Rural areas; Training; Troponin; protocols & guidelines; primary care; coronary heart disease; myocardial infarction

ObjectivesTo assess the feasibility and acceptability, and additionally to preliminarily evaluate, the effectiveness and safety of an accelerated diagnostic chest pain pathway in rural general practice using point-of-care troponin to identify patients at low risk of acute myocardial infarction, avoi...