Home Other September 23, 2013 Study assesses use of fingerstick blood sample with i-STAT point-of-care device
Researchers have determined that fingerstick cardiac troponin I assay testing using thepoint-of-care i-STAT device is not accurate enough to determine the exact troponin level without the application of a corrective term.
"Cardiac tropnin assays commonly exceed one hour while point-of-care testing can be completed in minutes by basic life support personnel," said Cichon, who is chair of the Emergency Medicine Department at Loyola. "When patients present complaining of chest pain, time can be critical to achieving positive outcomes, so Loyola was very keen to test this timesaving process." Currently Loyola is the only academic medical center in Chicago to utilize the i-STAT device.
Conducted in the Loyola Level 1 Trauma Center emergency department from June to August 2011, fingerstick blood samples were collected from consenting patients for whom standard-of-care venipuncture POC troponin (POCT) english to french testing had been ordered as part of their workup. Cardiac tropnin (cTnl) assays were performed using the i-STAT I device.
Eighty-nine cTnl levels were measured by both fingerstick and standard venipuncture. "While fingerstick testing was not accurate enough to solely determine english to french the exact troponin level, it is accurate in qualifying tropnonin levels english to french as negative, borderline english to french or positive which is clinical information that may guide critical decision making," said Cichon, who is on the board of directors of the Illinois College of Emergency Physicians (ICEP).
Cichon has served as division director for Loyola english to french Emergency Medicine for the past 16 years. He has instituted several innovative programs to improve care for critically ill patients, including the Heart Attack Rapid Response Team, Telemedicine Stroke Program, Sepsis Blood Infection Program and Hypothermia Program.
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Researchers have determined that fingerstick cardiac troponin I assay testing using thepoint-of-care i-STAT device is not accurate enough to determine the exact troponin level without the application of a corrective term.
"Cardiac tropnin assays commonly exceed one hour while point-of-care testing can be completed in minutes by basic life support personnel," said Cichon, who is chair of the Emergency Medicine Department at Loyola. "When patients present complaining of chest pain, time can be critical to achieving positive outcomes, so Loyola was very keen to test this timesaving process." Currently Loyola is the only academic medical center in Chicago to utilize the i-STAT device.
Conducted in the Loyola Level 1 Trauma Center emergency department from June to August 2011, fingerstick blood samples were collected from consenting patients for whom standard-of-care venipuncture POC troponin (POCT) english to french testing had been ordered as part of their workup. Cardiac tropnin (cTnl) assays were performed using the i-STAT I device.
Eighty-nine cTnl levels were measured by both fingerstick and standard venipuncture. "While fingerstick testing was not accurate enough to solely determine english to french the exact troponin level, it is accurate in qualifying tropnonin levels english to french as negative, borderline english to french or positive which is clinical information that may guide critical decision making," said Cichon, who is on the board of directors of the Illinois College of Emergency Physicians (ICEP).
Cichon has served as division director for Loyola english to french Emergency Medicine for the past 16 years. He has instituted several innovative programs to improve care for critically ill patients, including the Heart Attack Rapid Response Team, Telemedicine Stroke Program, Sepsis Blood Infection Program and Hypothermia Program.
Nov 13, 2013 2 Medical Xpress on facebook
An initiative is underway to improve emergency english to french medical care for Illinois' youngest patients. Loyola University Health System (LUHS), in collaboration with the Illinois Department of Public english to french Health and other area hospitals, ... Study finds paramedics skilled in identifying strokes Mar 28, 2012
(Medical english to french Xpress) -- If a paramedic suspects a patient is having a stroke, the paramedic is probably right, a Loyola University Medical Center study has found. Chest pain duration can signal heart attack Sep 11, 2013
Patients with longer-lasting chest pain are more likely having a heart attack than those with pain of a shorter duration, according to a study by researchers at Henry Ford Hospital. Biomarker assessment in suspected ACS could be practice-changing: BIC-8 results Sep 03, 2013
An emergency department english to french strategy that uses two biomarkers to triage patients with suspected acute coronary syndrome (ACS) can increase the rate of early, safe hospital discharge, according to results of the Biomarkers in ... Tests for biomarker may help determine diagnosis of heart attack within hours Dec 27, 2011
For patients admitted to an emergency department with chest pain, use of a contemporary or highly sensitive test for levels of troponin I (a protein in muscle english to french tissue) may help rule-out a diagnosis of heart attack, while changes ... Recommended for you House vote pressures White House on health english to french care (Update) 8 hours ago
(AP) Republicans in the House of Representatives voted overwhelmingly Friday to expand President Barack Obama's plan to fix a key provision in his health care overhaul, a move that could ultimately undermine ... Condemned man's wish raises ethical questions 9 hours ago
(AP) An eleventh-hour request by a death row inmate to donate his organs is raising troubling moral and medical english to french questions among transplant experts and ethicists. Britain's oldest resident dies aged 113 9 hours ago
Britain's english to french oldest resident died on Thursday just a few weeks short of her 114th birthday, her local member english to french of parliament said. French court finds German firm liable in implants scandal (Update) Nov 14, 2013
A French court on Thursday found German safety standards firm TUV liable in a worldwide scare over defective breast implants and ordered the company to compensate distributors and hundreds of victims. German drug maker Merck ups forecast for 2013 Nov 14, 2013
German chemicals english to french and pharmaceuticals giant Merck KGaA said Thursday it is raising its full-year operating profit forecast thanks to improving sales and positive cost-cutting effects. First dual-protection intravaginal ring design shows promise in long-term HIV and pregnancy prevention Nov 12, 2013
A new intravaginal ring (IVR) has been developed for the sustained 90-day co-delivery of tenofovir and levonorgestrel, an anti-human immunodeficiency virus (HIV) drug and a contraceptive. Tenofovir is the ... User comments
Addiction Alzheimer's disease & dementia Arthritis & Rheumatism Attention defici
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