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Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care
Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-Tn...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556440/ https://www.ncbi.nlm.nih.gov/pubmed/23365746 http://dx.doi.org/10.1155/2013/532093 |
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author | Nilsson, Staffan Andersson, Per O. Borgquist, Lars Grodzinsky, Ewa Janzon, Magnus Kvick, Magnus Landberg, Eva Nilsson, Håkan Karlsson, Jan-Erik |
author_facet | Nilsson, Staffan Andersson, Per O. Borgquist, Lars Grodzinsky, Ewa Janzon, Magnus Kvick, Magnus Landberg, Eva Nilsson, Håkan Karlsson, Jan-Erik |
author_sort | Nilsson, Staffan |
collection | PubMed |
description | Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. Patients. All patients ≥35 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. Main Outcome Measures. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. Results. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (P = 0.011 ). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (P = 0.369). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. Conclusion. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA. |
format | Online Article Text |
id | pubmed-3556440 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-35564402013-01-30 Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care Nilsson, Staffan Andersson, Per O. Borgquist, Lars Grodzinsky, Ewa Janzon, Magnus Kvick, Magnus Landberg, Eva Nilsson, Håkan Karlsson, Jan-Erik Int J Family Med Research Article Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. Patients. All patients ≥35 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. Main Outcome Measures. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. Results. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (P = 0.011 ). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (P = 0.369). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. Conclusion. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA. Hindawi Publishing Corporation 2013 2013-01-10 /pmc/articles/PMC3556440/ /pubmed/23365746 http://dx.doi.org/10.1155/2013/532093 Text en Copyright © 2013 Staffan Nilsson et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Nilsson, Staffan Andersson, Per O. Borgquist, Lars Grodzinsky, Ewa Janzon, Magnus Kvick, Magnus Landberg, Eva Nilsson, Håkan Karlsson, Jan-Erik Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title | Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title_full | Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title_fullStr | Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title_full_unstemmed | Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title_short | Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care |
title_sort | point-of-care troponin t testing in the management of patients with chest pain in the swedish primary care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556440/ https://www.ncbi.nlm.nih.gov/pubmed/23365746 http://dx.doi.org/10.1155/2013/532093 |
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