TABLE 1.
Characteristics of Survey Participants
Country/Institutions | Department | No. of Annual ED Visits* | No. of Hospital Beds† | Hs-cTn Assay | Sex-Specific vs. Combined Cut Offs | Timing of Serial Troponins | Further Cardiac Testing‡ |
---|---|---|---|---|---|---|---|
Australia | |||||||
University of Western Australia | Lab | >90 | ≥10 | I | S | 2 hr | Y |
Canada | |||||||
Saskatchewan Health Region/Royal University Hospital | Lab | 60–90 | 5–10 | T | C | 3 hr | Y |
University of Calgary | Card | >90 | ≥10 | T | C | Other | - |
Hamilton Health Sciences | Lab | >90 | ≥10 | I | C | 3 hr | - |
Germany | |||||||
Kerckhoff Heart and Thorax Center | Card | <30 | 2–5 | T | C | 3 hr | Y |
Netherlands | |||||||
Isala | IM | 30–60 | ≥10 | T | C | 3 hr | Y |
Leiden University Medical Center | Card | - | 5–10 | T | C | 1 hr | Y |
New Zealand | |||||||
Canterbury District Health Board | Lab | 60–90 | 5–10 | I | S | 3 hr | Y |
Christchurch Hospital | EM | >90 | 5–10 | I | S | 2 hr | Y |
University of Otago | Chem | 30–60 | 5–10 | I | S | - | - |
Canterbury District Health Board | Chem | >90 | 5–10 | I | S | 2 hr | Y |
Christchurch Hospital | Card | <30 | 5–10 | I | S | 2 hr | Y |
Singapore | |||||||
National Heart Centre Singapore | Card | >90 | ≥10 | T | C | 2 hr | N |
Sweden | |||||||
University of Gothenburg | Chem | 30–60 | ≥10 | T | C | Other | Y |
Karolinska University Hospital | EM | >90 | ≥10 | T | C | 1 hr | N |
Switzerland | |||||||
University Hospital Basel | Card | >90 | 2–5 | T | C | 1 hr | Y |
Cantonal Hospital Baselland | IM | <30 | 2–5 | T | C | 3 hr | Y |
Cantonal Hospital Baselland | IM | 30–60 | 2–5 | T | C | 3 hr | Y |
United Kingdom | |||||||
North Bristol NHS Trust UK | EM | 60–90 | 5–10 | T | C | 2 hr | N |
University of Manchester | EM | >90 | 2–5 | T | C | 3 hr | Y |
Royal Infirmary of Edinburgh, Scotland | Card | 60–90 | 2–5 | I | S | Other | Y |
Royal Infirmary of Edinburgh, Scotland | Card | >90 | 5–10 | I | S | 3 hr | N |
In thousands;
In hundreds;
Utilization of further cardiac testing in the emergency department rule out protocol;
ED = Emergency department; Lab = Laboratory Medicine; Card = Cardiology; Chem = Clinical Chemistry; EM = Emergency Medicine; IM = Internal Medicine; T = hs-cTnT, Roche Diagnostics; I = hs-cTnI, Abbott Diagnostics; S = Sex-specific cut offs; C = Combined cut off. Y = Yes; N = No.