![](/images/graphics-bg.png)
Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care
Joint Authors
Nilsson, Håkan
Borgquist, Lars
Kvick, Magnus
Landberg, Eva
Andersson, Per O.
Grodzinsky, Ewa
Nilsson, Staffan
Karlsson, Jan-Erik
Janzon, Magnus
Source
International Journal of Family Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Nilsson, Staffan& Andersson, Per O.& Borgquist, Lars& Grodzinsky, Ewa& Janzon, Magnus& Kvick, Magnus…[et al.]. 2013. Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care. International Journal of Family Medicine،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-479226
Modern Language Association (MLA)
Nilsson, Staffan…[et al.]. Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care. International Journal of Family Medicine No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-479226
American Medical Association (AMA)
Nilsson, Staffan& Andersson, Per O.& Borgquist, Lars& Grodzinsky, Ewa& Janzon, Magnus& Kvick, Magnus…[et al.]. Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care. International Journal of Family Medicine. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-479226
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479226