Estimating the clinical impact of bringing a multimarker cardiac panel to the bedside in the ED

American Journal of Emergency Medicine

Volumn 29, Issue 3, 2011, Pages 304-308

  Birkhahn, Robert H ^a   Haines, Elizabeth ^a   Wen, Wendy ^a   Reddy, Lakshmi ^a   Briggs, William M ^a   Datillo, Paris A ^a  

^a NEW YORK METHODIST HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CREATINE KINASE MB; MYOGLOBIN; TROPONIN I; TROPONIN T;

ACUTE CORONARY SYNDROME; AGED; ARTICLE; CORE LABORATORY; COST BENEFIT ANALYSIS; EMERGENCY WARD; FEMALE; HUMAN; INTERMETHOD COMPARISON; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; POINT OF CARE TESTING; PRIORITY JOURNAL; PROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; STANDARD; TIME;

ACUTE CORONARY SYNDROME; AGED; BIOLOGICAL MARKERS; COST SAVINGS; CREATINE KINASE, MB FORM; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL COSTS; HUMANS; MALE; MYOGLOBIN; POINT-OF-CARE SYSTEMS; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TIME FACTORS; TROPONIN I; TROPONIN T;

EID: 79951910452     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2009.12.007     Document Type: Article

References (21)

1. Lindsell C.J., Anantharaman V., and Diercks D. The Internet Tracking Registry of Acute Coronary Syndromes (i*trACS): a Multicenter Registry of Patients with Suspicion of Acute Coronary Syndromes Reported Using the Standardized Reporting Guidelines for Emergency Department Chest Pain Studies Ann Emerg Med 48 2006 666 677
2. Ryan R.J., Lindsell C.J., and Hollander J.E. A multicenter randomized controlled trial comparing central laboratory and point-of-care cardiac marker testing strategies: the Disposition Impacted by Serial Point of Care Markers in Acute Coronary Syndromes (DISPO-ACS) Trial Ann Emerg Med 53 3 2009 321 328
3. Gibler W.B., Runyon J.P., and Levy R.C. a rapid diagnostic and treatment unit for evaluating patients presenting to the emergency department with chest pain Ann Emerg Med 25 1995 1 8
4. Gomez M.A., Anderson J.L., and Karagounis L.A. An Emergency Department-Based Protocol for Rapidly Ruling Out Myocardial Ischemia Reduces Hospital Time and Expense: Results of a Randomized Study (ROMIO) J Am Coll Cardiol 28 1996 25 33 (Pubitemid 26266619)
5. Graff L.G., Dallara J., and Ross M.A. Impact on the Care of the Emergency Department Chest Pain Patient from the Chest Pain Evaluation Registry (CHEPER) Study Am J Cardiol 80 1997 563 568 (Pubitemid 27386139)
6. Braunwald E., Antman E.M., and Beasley J.W. ACC/AHA 2002 Guideline Update for the Management of Patients with Unstable Angina and non-ST-Segment Elevation Myocardial Infarction-summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Unstable Angina) J Am Coll Cardiol 40 2002 1366 1374
7. Antman E.M., Anbe D.T., and Armstrong P.W. ACC/AHA Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction-executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction) J Am Coll Cardiol 44 2004 671 719
8. Thygesen K., Alpert J.S., and White H.D. on behalf of the Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction. Universal Definition of Myocardial Infarction Circulation 116 22 2007 2634 2653
9. Apple F.S., Chung A.Y., and Kogut M.E. Decreased patient charges following implementation of point-of-care cardiac troponin monitoring in acute coronary syndrome patients in a community hospital cardiology unit Clin Chim Acta 370 2006 191 195 (Pubitemid 44080188)
10. Lee-Lewandrowski E., Corboy D., and Lewandrowski K. Implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center: impact on test turnaround time and patient emergency department length of stay Arch Pathol Lab Med 127 2003 456 460 (Pubitemid 36443681)
11. Parvin C.A., Lo S.F., and Deuser S.M. Impact of point-of-care testing on patients' length of stay in a large emergency department Clin Chem 42 1996 711 717 (Pubitemid 26142089)
12. Singer A.J., Viccellio P., and Thode H.C. Introduction of a stat laboratory reduces emergency department length of stay Acad Emerg Med 15 2008 324 328
13. Ryan T.J., Anderson J.L., and Antman E.M. ACC/AHA Guidelines for the Management of Patients with Acute Myocardial Infarction. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction) J Am Coll Cardiol 28 1996 1328 1428 (Pubitemid 26377013)
14. Apple F.S., Christenson R.H., and Valdes R. Simultaneous rapid measurement of whole blood myoglobin, creatine kinase MB, and cardiac troponin I by the triage cardiac panel for detection of myocardial infarction Clin Chem 45 1999 199 205 (Pubitemid 29079117)
15. Ng S.M., Krishnaswamy P., and Morrisey R. Ninety-minute accelerated critical pathway for chest pain evaluation Am J Cardiol 88 2001 611 617 (Pubitemid 32831092)
16. McCord J., Nowak R.M., and McCullough P.A. Ninety-minute exclusion of acute myocardial infarction by use of quantitative point-of-care testing of myoglobin and troponin I Circulation 104 2001 1483 1488 (Pubitemid 32917339)
17. Clark T.J., McPherson P.H., and Buechler K.F. The triage cardiac panel: cardiac markers for the triage system Point of Care 1 1 2002 42 46
18. Blomkalns A.L., and Gibler W.B. Emergency department crowding: emergency physicians and cardiac risk stratification as part of the solution Ann Emerg Med 43 1 2004 77 78 (Pubitemid 38049531)
19. Schull M.J., and Redelmeier D.A. Continuous electrocardiographic monitoring and cardiac arrest outcomes in 8,932 telemetry ward patients Acad Emerg Med 7 6 2000 647 652 (Pubitemid 30390490)
20. Storrow A.B., Lindsell C.J., and Collins S.P. Emergency department multimarker point-of-care testing reduces time to cardiac marker results without loss of diagnostic accuracy Point of Care 5 3 2006 132 136
21. Caragher T.E., Fernandez B.B., and Jacobs F.L. Evaluation of quantitative cardiac biomarker point-of-care testing in the emergency department J Emerg Med 22 1 2002 1 7 (Pubitemid 34061936)