دورية أكاديمية
Performance of the European Society of Cardiology 0/1-Hour, 0/2-Hour, and 0/3-Hour Algorithms for Rapid Triage of Acute Myocardial Infarction : An International Collaborative Meta-analysis
| العنوان: | Performance of the European Society of Cardiology 0/1-Hour, 0/2-Hour, and 0/3-Hour Algorithms for Rapid Triage of Acute Myocardial Infarction : An International Collaborative Meta-analysis |
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| المؤلفون: | Chiang, Cho-Han, Chiang, Cho-Hung, Pickering, John W, Stoyanov, Kiril M, Chew, Derek P, Neumann, Johannes T, Ojeda, Francisco, Sörensen, Nils A, Su, Ke-Ying, Kavsak, Peter, Worster, Andrew, Inoue, Kenji, Johannessen, Tonje R, Atar, Dan, Amann, Michael, Hochholzer, Willibald, Mokhtari, Arash, Ekelund, Ulf, Twerenbold, Raphael, Mueller, Christian, Bahrmann, Philipp, Buttinger, Nicolas, Dooley, Maureen, Ruangsomboon, Onlak, Nowak, Richard M, DeFilippi, Christopher R, Peacock, William F, Neilan, Tomas G, Liu, Michael A, Hsu, Wan-Ting, Lee, Gin Hoong, Tang, Pui-Un, Ma, Kevin Sheng-Kai, Westermann, Dirk, Blankenberg, Stefan, Giannitsis, Evangelos, Than, Martin P, Lee, Chien-Chang |
| المصدر: | Annals of Internal Medicine; 175(1), pp 101-113 (2022) ; ISSN: 0003-4819 |
| بيانات النشر: | American College of Physicians |
| سنة النشر: | 2022 |
| المجموعة: | Lund University Publications (LUP) |
| مصطلحات موضوعية: | Cardiac and Cardiovascular Systems, Algorithms, Biomarkers/blood, Diagnosis, Differential, Europe, Humans, Myocardial Infarction/diagnosis, Practice Guidelines as Topic, Predictive Value of Tests, Reproducibility of Results, Risk Factors, Societies, Medical, Time Factors, Triage/methods, Troponin/blood |
| الوصف: | BACKGROUND: The 2020 European Society of Cardiology (ESC) guidelines recommend using the 0/1-hour and 0/2-hour algorithms over the 0/3-hour algorithm as the first and second choices of high-sensitivity cardiac troponin (hs-cTn)-based strategies for triage of patients with suspected acute myocardial infarction (AMI).PURPOSE: To evaluate the diagnostic accuracies of the ESC 0/1-hour, 0/2-hour, and 0/3-hour algorithms.DATA SOURCES: PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus from 1 January 2011 to 31 December 2020. (PROSPERO: CRD42020216479).STUDY SELECTION: Prospective studies that evaluated the ESC 0/1-hour, 0/2-hour, or 0/3-hour algorithms in adult patients presenting with suspected AMI.DATA EXTRACTION: The primary outcome was index AMI. Twenty unique cohorts were identified. Primary data were obtained from investigators of 16 cohorts and aggregate data were extracted from 4 cohorts. Two independent authors assessed each study for methodological quality.DATA SYNTHESIS: A total of 32 studies (20 cohorts) with 30 066 patients were analyzed. The 0/1-hour algorithm had a pooled sensitivity of 99.1% (95% CI, 98.5% to 99.5%) and negative predictive value (NPV) of 99.8% (CI, 99.6% to 99.9%) for ruling out AMI. The 0/2-hour algorithm had a pooled sensitivity of 98.6% (CI, 97.2% to 99.3%) and NPV of 99.6% (CI, 99.4% to 99.8%). The 0/3-hour algorithm had a pooled sensitivity of 93.7% (CI, 87.4% to 97.0%) and NPV of 98.7% (CI, 97.7% to 99.3%). Sensitivity of the 0/3-hour algorithm was attenuated in studies that did not use clinical criteria (GRACE score <140 and pain-free) compared with studies that used clinical criteria (90.2% [CI, 82.9 to 94.6] vs. 98.4% [CI, 88.6 to 99.8]). All 3 algorithms had similar specificities and positive predictive values for ruling in AMI, but heterogeneity across studies was substantial. Diagnostic performance was similar across the hs-cTnT (Elecsys; Roche), hs-cTnI (Architect; Abbott), and hs-cTnI (Centaur/Atellica; Siemens) ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://lup.lub.lu.se/record/ca5f0c0c-51b7-49ae-ac86-76828d512018Test; http://dx.doi.org/10.7326/M21-1499Test; pmid:34807719; scopus:85122892707 |
| DOI: | 10.7326/M21-1499 |
| الإتاحة: | https://doi.org/10.7326/M21-1499Test https://lup.lub.lu.se/record/ca5f0c0c-51b7-49ae-ac86-76828d512018Test |
| رقم الانضمام: | edsbas.CB25271F |
| قاعدة البيانات: | BASE |
| DOI: | 10.7326/M21-1499 |
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