Performance of the 0/2-Hour hs-cTnT Accelerated Diagnostic Protocol in a Multisite United States Cohort.
Michael W SupplesAnna C SnavelyNicklaus P AshburnBrandon R AllenRobert H ChristensonRichard M NowakR Gentry WilkersonBryn E MummaTroy MadsenJason P StopyraSimon A MahlerPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2023)
The hs-cTnT 0/2-hour algorithm ruled out most patients. With NPV of <99% for 30-day cardiac death or MI, the hs-cTnT 0/2-hour algorithm, many emergency physicians may not consider it safe to use for U.S. ED patients. When combined with a low-risk HEAR score, NPV was >99% for 30-day cardiac death or MI at the cost of reduced efficacy.
Keyphrases
- blood pressure
- emergency department
- end stage renal disease
- machine learning
- deep learning
- left ventricular
- ejection fraction
- newly diagnosed
- primary care
- chronic kidney disease
- randomized controlled trial
- public health
- healthcare
- prognostic factors
- peritoneal dialysis
- heart failure
- patient reported outcomes
- neural network
- emergency medical