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ACTIVE NOT RECRUITING
NCT06899776

Assessing Chest Pain Using Point-of-Care High-Sensitivity Troponin I in the Emergency Department

Sponsor: Wake Forest University Health Sciences

View on ClinicalTrials.gov

Summary

The goal of this proposal is to improve the quality and value of care for patients with acute chest pain by investigating the potential impact of point-of-care (POC) high sensitivity cardiac troponin (hs-cTn) testing in the Emergency Department (ED) and exploring how best to integrate POC hs-cTnl into ED risk stratification workflows. The study hypothesizes that the Abbott i-STAT POC hs-cTnI assay will decrease time-to-result (TTR) and ED length of stay (LOS), while increasing ED revenue for patients with acute chest pain compared to a strategy of central laboratory hs-cTnI testing.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

600

Start Date

2025-02-07

Completion Date

2026-07

Last Updated

2026-02-02

Healthy Volunteers

No

Interventions

DEVICE

Abbott i-STAT point of care (POC) device

During the study period all ED patients with chest pain will have an extra lithium heparin blood sample obtained for each troponin test ordered and collected in the ED (typically 2, but this may range from 1-3 troponin measures), which will be used for immediate hs-cTnI measurement by research personnel using an Abbott i-STAT POC device.

Locations (3)

Carolinas Medical Center

Charlotte, North Carolina, United States

High Point Medical Center

High Point, North Carolina, United States

Wake Forest School of Medicine

Winston-Salem, North Carolina, United States