Open AccessFacility Variation in Troponin Ordering Within the Veterans Health Administration
Author(s) -
Philip Chui,
Denise Esserman,
Lori A. Bastian,
Jeptha P. Curtis,
Parul U. Gandhi,
Lindsey Rosman,
Nihar R. Desai,
Ronald G. Hauser
Publication year - 2020
Publication title -
medical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.632
H-Index - 178
eISSN - 1537-1948
pISSN - 0025-7079
DOI - 10.1097/mlr.0000000000001424
Subject(s) - medicine , quartile , troponin , emergency medicine , acute coronary syndrome , troponin i , percutaneous coronary intervention , case mix index , cardiology , myocardial infarction , nursing , confidence interval
Current United States guidelines recommend troponin as the preferred biomarker in assessing for acute coronary syndrome, but recommendations are limited about which patients to test. Variations in troponin ordering may influence downstream health care utilization.