Troponin Point-of-Care Testing in Smaller Hospital and Health Centre Emergency Departments in Newfoundland and Labrador

Pai, Nitika Pant and Grignon, Michel and Bornstein, Stephen and Navarro, Pablo and Mackey, Sarah (2014) Troponin Point-of-Care Testing in Smaller Hospital and Health Centre Emergency Departments in Newfoundland and Labrador. Project Report. Memorial University of Newfoundland, St. John's, Newfoundland.

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Abstract

This report provides a synthesis of the relevant research-based evidence on the clinical effectiveness, feasibility and acceptability of cardiac troponin point-of-care testing for emergency departments in Newfoundland and Labrador in general, and for smaller hospitals and health centres in particular. In addition to the synthesis of research-based evidence, this report also provides an analysis of local contextual factors and the impact they may have on lab services in the province. This report is intended to inform and assist decision makers in the Department of Health and Community Services of Newfoundland and Labrador and the province’s Regional Health Authorities who are involved in the planning, implementation and delivery of services. This CHRSP report is also meant to help guide decisions regarding lab services and the provision of point-of-care testing in emergency departments in the province. This report is also aimed at practitioners, researchers and other stakeholders involved in providing emergency health services in settings that do not have 24/7 central laboratory services. Decision makers from other jurisdictions, especially those with similar geography, resources and potential client populations, may also find the content helpful. The report includes explanations of research terms and technical language; accordingly, there is no need to have a specialized medical or health background in order to understand its content.

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