应用高敏肌钙蛋白进行心肌梗死快速排除的实施情况：英国医院的横断面调查。
Implementation of rapid rule out of myocardial infarction using high-sensitivity troponin: cross-sectional survey of English hospitals.
机构信息
School of Health and Related Research, University of Sheffield, Sheffield, UK.
School of Health and Related Research, University of Sheffield, Sheffield, UK
出版信息
Emerg Med J. 2020 Apr;37(4):229-231. doi: 10.1136/emermed-2019-209100. Epub 2020 Feb 5.
OBJECTIVES
Recent guidance recommended use of high-sensitivity troponin for rapid rule out of myocardial infarction (MI) in the English health service. We aimed to determine the extent of implementation of this guidance across English hospitals.
METHODS
This study conducted a cross-sectional questionnaire survey of 131 English acute hospitals with over 10 000 admissions per year.
RESULTS
We received 125/131 responses (95%), with 110/125 (88%) reporting use of a high-sensitivity troponin assay and responses showing progressive implementation over the last 10 years. High-sensitivity troponin was reported to be used for rapid rule out of MI in 92/110 Trusts (84%). Review of guidelines received from 95/110 Trusts identified that 71/95 (75%) provided guidance for rapid MI rule out with high-sensitivity troponin: 57 recommended testing at 0 and 3 hours, 4 recommended testing at 0 and 2 hours, and 9 recommended testing at 0 and 1 hour, and timing was unclear at one Trust.
CONCLUSIONS
English acute hospital Trusts report widespread implementation of high-sensitivity troponin for rapid rule out of MI, with most recommending testing at 0 and 3 hours.
目的
最近的指南建议在英国卫生服务中使用高敏肌钙蛋白快速排除心肌梗死（MI）。我们旨在确定该指南在英国各医院的实施程度。
方法
本研究对每年有超过 10000 例住院患者的 131 家英国急症医院进行了横断面问卷调查。
结果
我们收到了 125/131 份（95%）回复，其中 110/125 份（88%）报告使用了高敏肌钙蛋白检测，且随着过去 10 年的进展，其使用情况呈递增趋势。92/110 家信托基金（84%）报告使用高敏肌钙蛋白快速排除 MI。从 95/110 家信托基金收到的指南审查中发现，71/95（75%）为高敏肌钙蛋白快速排除 MI 提供了指南：57 家建议在 0 小时和 3 小时进行检测，4 家建议在 0 小时和 2 小时进行检测，9 家建议在 0 小时和 1 小时进行检测，而一家信托基金的检测时间不明确。
结论
英国急症医院信托基金报告广泛使用高敏肌钙蛋白快速排除 MI，大多数建议在 0 小时和 3 小时进行检测。
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