Evidence map›Paper›PMID 28572743›Full record

ArticlePragmatic and observational research2017

Design and rationale of the high-sensitivity Troponin T Rules Out Acute Cardiac Insufficiency Trial.

Benton R Hunter, Sean P Collins, Gregory J Fermann, Phillip D Levy, Changyu Shen, Syed Imran Ayaz, Mette L Cole, Karen F Miller, Adam A Soliman, Peter S Pang

Open access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. The Role of Troponin for Acute Heart Failure.Current heart failure reports · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Benton R HunterDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.
Sean P CollinsDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.
Gregory J FermannDepartment of Emergency Medicine, University of Cincinnati, Cincinnati, OH.
Phillip D Levyepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI.
Changyu ShenDepartment of Biostatistics, Indiana University School of Medicine.
Syed Imran Ayazepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI.
Mette L ColeDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.
Karen F MillerDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.
Adam A SolimanDepartment of Emergency Medicine, University of Cincinnati, Cincinnati, OH.
Peter S PangDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.
Indiana University School of MedicineUniversity of Cincinnati · USVanderbilt University Medical Center · USWayne State University · USRegenstrief Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute heart failure (AHF) is a common presentation in the Emergency Department (ED), and most patients are admitted to the hospital. Identification of patients with AHF who have a low risk of adverse events and are suitable for discharge from the ED is difficult, and an objective tool would be useful.

methodsThe highly sensitive Troponin T Rules Out Acute Cardiac Insufficiency Trial (TACIT) will enroll ED patients being treated for AHF. Patients will undergo standard ED evaluation and treatment. High-sensitivity troponin T (hsTnT) will be drawn at the time of enrollment and 3 hours after the initial draw. The initial hsTnT draw will be no more than 3 hours after initiation of therapy for AHF (vasodilator, loop diuretic, noninvasive ventilation). Treating clinicians will be blinded to hsTnT results. We will assess whether hsTnT, as a single measurement or in series, can accurately predict patients at low risk of short-term adverse events.

conclusionTACIT will explore the value of hsTnT measurements in isolation, or in combination with other markers of disease severity, for the identification of ED patients with AHF who are at low risk of short-term adverse events.

Indexed as

heart failurehigh-sensitivity troponinhospitalization

Identifiers

PMID28572743
PMCPMC5441668
OpenAlexW2615664421

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.