ArticleJournal of clinical medicine research2015
Chief Complaint at Admission Relates to Troponin Level and Mortality in Patients With Non-ACS Troponin Elevation.
Article in Journal of clinical medicine research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed, 0 citations in OpenAlex.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElevated level of troponin T (TnT) in the absence of acute coronary syndrome (ACS) can be caused by a number of conditions but the relevance of the chief complaint at admission for TnT level and prognosis has not been reported previously. The aim was to study whether TnT level differs among chief complaints or underlying causes in patients with non-ACS TnT elevation and if these factors predict mortality.
methodsPatients admitted with TnT elevation were categorized as ACS or non-ACS and followed for 1 year. Statistical comparisons between different chief complaints and underlying causes were performed.
resultsPatients with non-ACS TnT elevation (n = 71) were less likely to present with chest pain compared to ACS (n = 50) (37% vs. 74%, P < 0.001) whereas dyspnea (25%), syncope/arrhythmia (14%) or other chief complaints (24%) were more common. Patients with dyspnea and other chief complaints had higher peak values of TnT compared to chest pain (P < 0.05). The most common peak occurred within 3 hours after admission for chest pain, dyspnea and other chief complaints whereas for arrhythmia it occurred after 3 - 9 hours (P < 0.01). A peak value > 15 hours after admission was only observed among dyspnea and other chief complaints. Mortality was higher in patients presenting with dyspnea (50%) or other causes (35%) compared to chest pain (8%) or syncope/arrhythmia (10%) (P < 0.05). Renal failure was the only underlying cause that predicted mortality.
conclusionAmong patients with non-ACS TnT elevation, patients presenting with dyspnea had higher TnT and higher 1-year mortality, whereas patients with chest pain were at lower risk.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.