“Real life use” of troponin in the emergency department: a survey of over 3000 cases

• Published in: Biochemia Medica Vol. 25; no. 3; pp. 421 - 429
• Main Authors: Vidali, Matteo, Verzotti, Enrica, Cabraz, Nicole, Santi, Francesca, Puma, Alessia, Bellomo, Giorgio, Lupi, Alessandro, Lippi, Giuseppe, Avanzi, Gian Carlo
• Format: Journal Article Paper
• Language: English
• Published: Croatia Medicinska naklada 01.01.2015; Croatian Society of Medical Biochemistry and Laboratory Medicine
• Subjects: acute coronary syndrome; Acute Coronary Syndrome - blood; Acute Coronary Syndrome - diagnosis; Age Factors; Aged; Cardiovascular Diseases - blood; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - epidemiology; chest pain; Chest Pain - etiology; Coronary Angiography; Diabetes Mellitus - epidemiology; Diagnosis, Differential; Digestive System Diseases - blood; Digestive System Diseases - diagnosis; Electrocardiography; emergency service, hospital; Emergency Service, Hospital - statistics & numerical data; Female; Hematologic Tests - utilization; Humans; Italy; Male; Patient Admission - statistics & numerical data; Predictive Value of Tests; Respiration Disorders - blood; Respiration Disorders - diagnosis; Retrospective Studies; Risk Factors; Sensitivity and Specificity; Single-Blind Method; troponin I; Troponin I - blood; Italy; troponin I; acute coronary syndrome; chest pain; emergency service, hospital

The aim of this study was to identify clinical variables which may be independently associated with positivity of a cardiac troponin I (cTnI) assay in a large population of patients admitted to the emergency department (ED). 3166 subjects, with at least two troponin I tests ordered within 6 hours in...