Cardiac troponin measurement at the point of care: educational recommendations on analytical and clinical aspects by the IFCC Committee on Clinical Applications of Cardiac Bio-Markers (IFCC C-CB)

被引：17

作者：

Collinson, Paul ^{[1
,2
,3
]}

Aakre, Kristin M. ^{[4
,5
,6
]}

Saenger, Amy ^{[7
,8
]}

Body, Rick ^{[9
,10
,11
]}

Hammarsten, Ole ^{[12
]}

Jaffe, Allan S. ^{[13
,14
]}

Kavsak, Pete ^{[15
]}

Omland, Torbjorn ^{[16
,17
]}

Ordonez-Lianos, Jordi

Karon, Brad

Apple, Fred S. ^{[7
,8
]}

机构：

[1] St Georges Univ Hosp NHS Fdn Trust, Dept Clin Blood Sci & Cardiol, Jenner Wing, Cranmer Terrace, London SW17 0QT, England

[2] St Georges Univ Hosp NHS Fdn Trust, Dept Cardiol, Jenner Wing, Cranmer Terrace, London SW17 0QT, England

[3] St Georges Univ London, London, England

[4] Haukeland Hosp, Dept Med Biochem & Pharmacol, Bergen, Norway

[5] Haukeland Hosp, Dept Heart Dis, Bergen, Norway

[6] Univ Bergen, Dept Clin Sci, Bergen, Norway

[7] HCMC, Dept Lab Med & Pathol, Hennepin Healthcare, Minneapolis, MN USA

[8] Univ Minnesota, Dept Lab Med & Pathol, Minneapolis, MN USA

[9] Manchester Univ NHS Fdn Trust, Manchester Acad Hlth Sci Ctr, Emergency Dept, Manchester, England

[10] Univ Manchester, Div Cardiovasc Sci, Manchester, England

[11] Manchester Metropolitan Univ, Healthcare Sci Dept, Manchester, England

[12] Univ Gothenburg, Dept Clin Chem & Transfus Med, Gothenburg, MN, Sweden

[13] Mayo Clin, Dept Lab Med, Rochester, MN USA

[14] Mayo Clin, Dept Pathol & Cardiol, Rochester, MN USA

[15] McMaster Univ, Dept Pathol & Mol Med, Hamilton, ON, Canada

[16] Akershus Univ Hosp, Dept Cardiol, Lorenskog, Norway

[17] Univ Oslo, Inst Clin Med, Oslo, Norway

来源：

CLINICAL CHEMISTRY AND LABORATORY MEDICINE | 2023年 / 61卷 / 06期

关键词：

cardiac troponin I; cardiac troponin T; educational recommendations; point of care testing; ACUTE CORONARY SYNDROME; ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED-TRIAL; EMERGENCY-DEPARTMENT; IMPACT; MANAGEMENT; DIAGNOSIS; TIME;

D O I：

10.1515/cclm-2022-1270

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

The International Federation of Clinical Chemistry and Laboarator Medicine (IFCC) Committee on Clinical Applications of Cardiac Bio-Markers (C-CB) has provided evidence-based educational resources to aid and improve the understanding of important analytical and clinical aspects of cardiac biomarkers. The present IFCC C-CB educational report focuses on recommendations for appropriate use, analytical performance, and gaps in clinical studies related to the use of cardiac troponin (cTn) by point of care (POC) measurement, often referred to as a point of care testing (POCT). The use of high-sensitivity (hs)-cTn POC devices in accelerated diagnostic protocols used in emergency departments or outpatient clinics investigating acute coronary syndrome has the potential for improved efficacy, reduction of length of stay and reduced costs in the health care system. POCT workflow integration includes location of the instrument, assignment of collection and testing responsibility to (non-lab) staff, instrument maintenance, in-service and recurrent training, quality control, proficiency assessments, discrepant result trapping, and troubleshooting and inventory management.

引用

页码：989 / 998

页数：10

共 39 条

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