沙特阿拉伯一家三级护理医院急诊科肌钙蛋白检测的适宜性。
Appropriateness of troponin testing in emergency department at a tertiary care hospital in Saudi Arabia.
机构信息
From the Department of Pathology & Clinical Laboratory, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2022 May;43(5):526-529. doi: 10.15537/smj.2022.43.5.20210723.
OBJECTIVES
To assess the appropriateness of troponin testing in the Emergency Department (ED) at King Saud Medical City, Riyadh, Saudi Arabia.
METHODS
This record-based cross-sectional study examined the electronic records of adult patients who underwent a troponin test following admission to hospital's ED from January to March 2020.
RESULTS
A total of 367 troponin tests were ordered for 233 patients. Majority of these orders were appropriate (55%) while the remaining (45%) were adjudged as inappropriate. Among the inappropriate orders, majority were single (61%) compared to serial ones (39%). Overall, there were 166 inappropriate orders and the estimated direct monthly cost for inappropriate testing was 49,800 Saudi Riyals in the emergency department alone.
CONCLUSION
Approximately half of the troponin tests ordered in the ED were inappropriate. The overall financial burden of inappropriate testing greatly impacts patient management and resource utilization. These findings emphasize the pressing need for institutional clinical guidelines to guide appropriate use of troponin testing.
目的
评估沙特阿拉伯利雅得的沙特国王医疗城急诊科（ED）进行肌钙蛋白检测的适宜性。
方法
这项基于记录的横断面研究检查了 2020 年 1 月至 3 月期间因入院而在医院 ED 接受肌钙蛋白检测的成年患者的电子记录。
结果
为 233 名患者共开了 367 次肌钙蛋白检测。这些订单中大部分是合理的（55%），其余的（45%）被判定为不合理。在不合理的订单中，大多数是单次（61%），而不是连续的（39%）。总体而言，有 166 次不合理的检测，仅在急诊科，每月因不合理检测而产生的直接费用估计为 49800 沙特里亚尔。
结论
ED 中约有一半的肌钙蛋白检测订单不合理。不合理检测的总体经济负担极大地影响了患者的管理和资源利用。这些发现强调了制定机构临床指南以指导肌钙蛋白检测合理使用的迫切需要。
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