Single high-sensitivity troponin levels to assess patients with potential acute coronary syndromes: 1-year outcomes
Authors' conclusion
A clinical pathway which incorporates early discharge based on a single low serum hs-cTnI is associated with an increased proportion of patients with a potential ACS discharged directly from the ED and reduced length of stay, without an increase in death or MI at 1 year.
Study context
- Population
- Patients with a potential acute coronary syndrome (ACS), without high-risk featuresrecruited between May 2018 and October 2019
- Participants
- 2,255 patients
- Comparison
- STAT pathway vs standard pathway
- STATn = 1,124
- Standardn = 1,131
- Outcome
- Discharged directly from emergency department (ED)
Methodological details12-month outcomes assessed using linked administrative data
- 12-month outcomes assessed using linked administrative data
Main finding
As reported in the abstract
Further findings
All-cause death (unadjusted) · 12 months · no significant difference
P = 0.35
Myocardial infarction (MI) (unadjusted) · 12 months · no significant difference
P = 0.13
Median hospital length of stay
- Reduction in median hospital length of stay with STAT
- 47 min
Baseline characteristics
- Mean age
- 55 years
- Male
- 53%
Original publication
Single high-sensitivity troponin levels to assess patients with potential acute coronary syndromes: 1-year outcomes. Heart. Published 27 June 2025. doi:10. 1136/ heartjnl-2024-325188
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