WebNov 22, 2024 · We assessed the accuracy and clinical effectiveness of high-sensitivity cardiac troponin (hs-cTn) assays for early rule-out of non-ST-segment elevation myocardial infarction (NSTEMI) in adults presenting with acute chest pain. Methods Sixteen databases were searched to September 2024. Review methods followed published guidelines. WebNov 15, 2024 · The High-STEACS pathway identified 63.4% (1218/1920) of patients as low risk, with five missed events (four index type 1 myocardial infarction and one type 1 myocardial infarction at 30 days) for an NPV of 99.5% (95% CI 99.1% to 99.8%) and sensitivity of 98.0% (95% CI 96.4% to 99.5%).
High-sensitivity Troponin in the Evaluation of patients …
WebA high-sensitivity troponin assay (hs-TnI) (ARCHITECT stat; Abbott Laboratories, USA) was used to guide clinical decisions This particular assay has a 99th centile upper reference limit of 34 ng/L in men and 16 … WebThe High-STEACS trial makes use of several routine electronic health-care data sources that are linked, de-identified, and held in DataLoch Safe Haven, which is accessible by approved individuals who have undertaken the necessary governance training. Summary aggregate level data and analysis code for this study can be made available upon ... fn1335 cl-p064-al12sw-a
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WebOct 15, 2024 · This study is a prespecified secondary analysis of the High-STEACS (High-Sensitivity Troponin in the Evaluation of Patients With Suspected Acute Coronary Syndrome) trial, which evaluated the impact of incorporating hs-TnI in the evaluation of patients suspected of ACS on outcomes. A total of 48,282 consecutive patients (47% women) with ... WebThe High-Sensitivity Troponin in the Evaluation of Patients With Acute Coronary Syndrome (High-STEACS) trial, 61 which contributed multiple diagnostic accuracy data sets, was a stepped-wedge cluster RCT that evaluated implementation of an early rule-out pathway in hospitals in Scotland. WebAug 4, 2016 · The ongoing High-Sensitivity Troponin in the Evaluation of Patients with Acute Coronary Syndrome (High-STEACS) trial 31 is investigating the clinical implications of a high-sensitivity... fn1200-w