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High-Sensitivity Cardiac Troponin and ED Length of Stay: A Before and After Study

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Abstract

In the United States, chest pain is the second most common chief complaint among patients presenting to the emergency department (ED), representing over 7.3 million annual visits.

High-sensitivity (hs) cardiac troponin (cTn )has the potential to improve the care of patients with chest pain. Hs-cTn assays have superior diagnostic accuracy in patients with chest pain compared to conventional cardiac troponin (c-cTn) assays.

Large multi-center European studies have shown that use of hs-cTn is associated with decreased ED length-of-stay (LOS), decreased hospital admissions and decreased cardiac stress testing, providing promising evidence to refute these concerns.

Little data are available regarding the effects of hs-cTn assays on ED operational metrics and patient diagnoses in an American population.

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