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Troponin testing in the emergency department : real world experience
العناوين الأخرى
فحص مستوى التروبونين في قسم الطوارئ : تجربة من الواقع
المؤلفون المشاركون
al-Lawati, Hatim
al-Maskari, Muhammad
al-Makhdami, Mahmud
al-Hadi, Hafiz
Nadar, Sunil K.
المصدر
Sultan Qaboos University Medical Journal
العدد
المجلد 17، العدد 4 (30 نوفمبر/تشرين الثاني 2017)، ص ص. 398-403، 6ص.
الناشر
جامعة السلطان قابوس كلية الطب و العلوم الصحية
تاريخ النشر
2017-11-30
دولة النشر
سلطنة عمان
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives: The aim of this study was to examine patterns of troponin testing in the emergency department of a large tertiary care hospital in Oman and to determine its effect on patient management, including length of hospital stay (LOS).
Methods: This retrospective study analysed the medical records of all adult patients undergoing troponin testing in the emergency department of the Sultan Qaboos University Hospital, Muscat, Oman, during the month of July 2015.
Patients who presented with an ST-elevation myocardial infarction were excluded.
Results: A total of 4,845 patients attended the emergency department during the study period; of these, troponin tests were ordered for 588 patients.
The majority of the patients had negative troponin test results (81.3%).
Chest pain, palpitations and breathlessness were the most common presenting complaints for those with positive troponin results.
However, 41.8% of patients did not have any cardiac symptoms.
Individuals with positive troponin tests had a significantly longer LOS compared to those with negative tests (mean: three versus one day; P = 0.001).
In total, only 28.2% of those with positive troponin test results had final diagnoses associated with a cardiac condition, such as heart failure, an acute coronary syndrome (ACS), atrial fibrillation or other types of arrhythmia.
Conclusion: A positive troponin test was associated with increased LOS; however, only a small proportion of these patients had a final diagnosis associated with a cardiac condition.
Guidelines should be provided to ensure that troponin testing is performed only in cases where an ACS is suspected
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Maskari, Muhammad& al-Makhdami, Mahmud& al-Lawati, Hatim& al-Hadi, Hafiz& Nadar, Sunil K.. 2017. Troponin testing in the emergency department : real world experience. Sultan Qaboos University Medical Journal،Vol. 17, no. 4, pp.398-403.
https://search.emarefa.net/detail/BIM-798916
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Makhdami, Mahmud…[et al.]. Troponin testing in the emergency department : real world experience. Sultan Qaboos University Medical Journal Vol. 17, no. 4 (Nov. 2017), pp.398-403.
https://search.emarefa.net/detail/BIM-798916
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Maskari, Muhammad& al-Makhdami, Mahmud& al-Lawati, Hatim& al-Hadi, Hafiz& Nadar, Sunil K.. Troponin testing in the emergency department : real world experience. Sultan Qaboos University Medical Journal. 2017. Vol. 17, no. 4, pp.398-403.
https://search.emarefa.net/detail/BIM-798916
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 402-403
رقم السجل
BIM-798916
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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