>Date: Fri, 26 Nov 1999 19:10:30 -0500
>To: [log in to unmask]
>From: "Elizabeth Macnamara, Department of Diagnostic Medicine, Jewish
General Hospital, Montreal, Quebec, Canada" <[log in to unmask]>
>Subject: Re: NEAR PATIENT TESTING FOR TROPONIN-T
>In-Reply-To: <[log in to unmask]>
>References: <[log in to unmask]>
>
>I'd be delighted to send them if you give me your address. I can try
sending them by e-mail if you would like me to try scanning them. We will
be revisiting them again in February with an Internal Medicine Resident and
reviewing their usage along with cut off levels. We use two different
levels ie maximize sensitivity for retaining the patient in the ED and a
higher level for admission to the CCU. By February we will have been using
Trop-T for one year and should have adequate data in the computer to match,
with the residents help, the charts and so alter, if necessary, the cutoffs
and the usage.
>
>Elizabeth Mac Namara
>
>
>At 11:59 AM 11/24/99 +0000, you wrote:
>>I'd be very interested to see the decision pathways for these decisions.
>>
>>Jonathan Kay
>>
>>"Elizabeth Macnamara, Department of Diagnostic Medicine, Jewish General
>> Hospital, Montreal, Quebec, Canada" wrote:
>>
>>> >
>>> >I have a certain sympathy for the cardiologists. We use Trop-T in our
>>> laboratory 24 hours per day, 7 days per week with 90% of results with TAT
>>> of <60minutes. If cardiologists are using this test as part of a
>>> discrimination of admission to hospital, prolonged stay in the ER or
>>> addmission to the CCU then they need it 24 hours per day.
>>
>>
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