Point of Care I-STAT Troponin

Conference Year

January 2020

Abstract

Patients in the Emergency Department undergoing evaluation for chest pain have a blood test called a troponin done as part of their evaluation. This particular test takes about an hour to run and return with a result. Frequently, patients in the Emergency Department will have two troponin tests, one when they first enter the hospital and a second three hours later, as troponin levels take time to reach a detectable level in the blood after damage to the heart occurs. The Abbott I-STAT clinical analyzer is a hand-held device that is able to perform the troponin test in roughly 10 minutes instead of the hour that standard testing takes. The purpose of this study is to see if the I-STAT could be used clinically for the second troponin test in place of the current lab test, and whether this in turn would save time in diagnosing a heart attack or determining a patient's disposition in the Emergency Department. The I-STAT is currently only utilized clinically in the Emergency Department for arterial blood gases due to respiratory therapy being the only personnel trained on I-STAT use. This study looks to expand on I-STAT use in the Emergency Department through troponin testing.

Primary Faculty Mentor Name

Alison Sullivan, MD

Secondary Mentor Name

Roz Bidad, RN

Status

Undergraduate

Student College

College of Arts and Sciences

Program/Major

Biology

Primary Research Category

Health Sciences

Abstract only.

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Point of Care I-STAT Troponin

Patients in the Emergency Department undergoing evaluation for chest pain have a blood test called a troponin done as part of their evaluation. This particular test takes about an hour to run and return with a result. Frequently, patients in the Emergency Department will have two troponin tests, one when they first enter the hospital and a second three hours later, as troponin levels take time to reach a detectable level in the blood after damage to the heart occurs. The Abbott I-STAT clinical analyzer is a hand-held device that is able to perform the troponin test in roughly 10 minutes instead of the hour that standard testing takes. The purpose of this study is to see if the I-STAT could be used clinically for the second troponin test in place of the current lab test, and whether this in turn would save time in diagnosing a heart attack or determining a patient's disposition in the Emergency Department. The I-STAT is currently only utilized clinically in the Emergency Department for arterial blood gases due to respiratory therapy being the only personnel trained on I-STAT use. This study looks to expand on I-STAT use in the Emergency Department through troponin testing.