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Medical Forum / General / Laboratory / September 2006

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Troponin

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Prizen - 25 Aug 2006 17:02 GMT
I'd like to ask a little survey, a show of hands- for those of you in a
hospital setting, how many of you have a critical value for an elevated
troponin? i.e. you have to call it to the floor?

EJ
Mike Collins - 28 Aug 2006 09:09 GMT
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?

Yes we have a critical value.

We don'n normally phone troponins. They are an urgent test and we
expect the wards of A&E to check the hospital conputer regularly for
the results.

In England casualty deparments are penalised if the patient is in the
department  more than 4 hours and they are usually keen on getting the
results. They phone if the result is not ready quickly.
PjS labrat - 29 Aug 2006 20:47 GMT
We don't report elevated Troponins as a Critical Value.
PjS
John Gentile - 30 Aug 2006 01:54 GMT
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ

We call critical Troponin I >0.5. But only on admission or on the first
sample. After that the repeats are not considered critical even if they
are still elevated.
Signature

John Gentile, MS M(ASCP)
Laboratory Information Manager
Providence, VAMC

harrison6723@rogers.com - 12 Sep 2006 02:46 GMT
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ
We call the first positive trop (=>0.5) to everyone except ICU. I guess
they
are on top of things enough.
Arcie Mizelle - 26 Sep 2006 03:09 GMT
Yes we call critical Troponin values to the floor.

> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ

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Arcie Mizelle - 26 Sep 2006 03:15 GMT
One note on our calling critical troponin values to the floor.  At our  
hospital we have had a problem with nurses mischarting patient results so  
we have been required to call all critical (i.e. elevated) troponin values  
to the floor and record the nurses name and time of the call.  I realize  
calling more than the admission or initially elevated troponin value  
doesn't seem practical, but I am not sure there has been enough data  
collected on point to point troponin changes to determine their  
significance for any individual patient other than those studies which  
given general data concerning 30 day survival.

> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ

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