Appropriateness of troponin testing in emergency department at a tertiary care hospital in Saudi Arabia

Maha Fahad S. Alrusaiyes; Muhammad A. Qureshi

doi:10.15537/smj.2022.43.5.20210723

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Figure 1
- Representation of appropriateness of total troponin orders.
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Figure 2
- Distribution of inappropriate troponin orders as single and serial.
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Figure 3
- Appropriateness of serial troponin orders categories.

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Table 1

- Clinical reasons for ordering the troponin pathology test.

Clinical reason (patient presented with)	Single order (n=166)	Serial order (n=201)
Cardiorespiratory symptoms (chest pain, SOB, CAP, PE, and MI)	35 (21.1)	117 (58.2)
Radiating pain (epigastric pain, abdominal pain, back pain)	7 (4.2)	12 (6.0)
CNS symptoms (dizziness, confusion, mouth deviation, difficult speaking)	21 (12.7)	24 (11.9)
Cardiorespiratory symptoms + Radiating pain	1 (0.6)	8 (4.0)
Cardiorespiratory + CNS	1 (0.6)	10 (5.0)
Others	101 (60.8)	30 (14.9)

Values are presented as numbers and percentages. SOB: shortness of breath, CAP: community acquired pneumonia, PE: pulmonary embolism, MI: myocardial infarction; CNS: central nervous system