Evidence map›Paper›PMID 29372080›Full record

ArticleSultan Qaboos University medical journal2017

Troponin Testing in the Emergency Department: Real world experience.

Mohammed Al-Maskari, Mahmoud Al-Makhdami, Hatim Al-Lawati, Hafidh Al-Hadi, Sunil K Nadar

Open access · diamondAbstract read
In one paragraph

Article in Sultan Qaboos University medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
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

5 authors at 1 institution in 1 country.

Mohammed Al-MaskariDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Mahmoud Al-MakhdamiDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Hatim Al-LawatiDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Hafidh Al-HadiDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Sunil K NadarDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos University Hospital · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to examine patterns of troponin testing in the emergency department of a large tertiary care hospital in Oman and to determine its effect on patient management, including length of hospital stay (LOS).

methodsThis retrospective study analysed the medical records of all adult patients undergoing troponin testing in the emergency department of the Sultan Qaboos University Hospital, Muscat, Oman, during the month of July 2015. Patients who presented with an ST-elevation myocardial infarction were excluded.

resultsA total of 4,845 patients attended the emergency department during the study period; of these, troponin tests were ordered for 588 patients. The majority of the patients had negative troponin test results (81.3%). Chest pain, palpitations and breathlessness were the most common presenting complaints for those with positive troponin results. However, 41.8% of patients did not have any cardiac symptoms. Individuals with positive troponin tests had a significantly longer LOS compared to those with negative tests (mean: three versus one day;

conclusionA positive troponin test was associated with increased LOS; however, only a small proportion of these patients had a final diagnosis associated with a cardiac condition. Guidelines should be provided to ensure that troponin testing is performed only in cases where an ACS is suspected.

Indexed as

Acute Coronary SyndromeAgedBiomarkersChi-Square DistributionEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedOmanRetrospective StudiesTroponinBiomarkersTroponinAcute Coronary SyndromeCardiovascular AbnormalityEmergency DepartmentLength of StayOmanTroponin

Identifiers

PMID29372080
PMCPMC5766294
OpenAlexW2782703620

What OpenQuestion holds

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Registered trials

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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.