Diagnostic and prognostic value of cardiac troponins in emergency department patients presenting after a fall: A prospective, multicenter study.

Tanguy EspejoLukas TerhalleAlexandra MalinovskaHenk B RiedelLaura ArntzLivia HafnerKaren Delport-LehnenJoanna ZuppingerNicolas GeigyJörg LeuppiRajan SomasundaramRoland BingisserChristian H Nickel

Published in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2024)

A majority of patients (n = 364, 68.8%) presenting to the ED after a fall had elevated hs-cTnT levels and 86 (15.4%) elevated hs-cTnI levels. However, the incidence of MI in these patients was low (n = 3, 0.5%). Our data do not support the opinion that falls may be a common presenting feature of MI. We discourage routine troponin testing in this population. However, hs-cTnT and hs-cTnI were both found to have prognostic properties for mortality prediction up to 1 year.

Keyphrases

emergency department
end stage renal disease
ejection fraction
newly diagnosed
prognostic factors
machine learning
case report
atrial fibrillation