Chest pain is the most common reason for emergency hospital admission. As only a minority of these patients have acute myocardial infarction (AMI), improved diagnostics could reduce admissions with substantial potential cost savings. We have derived a novel accelerated diagnostic protocol (ADP), by which patients with normal initial heart-type fatty acid binding protein(H-FABP) and high sensitivity troponin T (hs-cTnT) levelsand no ECG ischemia could be immediately discharged. In an economic analysis, we sought to determine whether use of the ADP would reduce health care costs.
Boyd, R., Dixon, D., Burrows, G., Cook, G., & Lewis, PS. (2012). Economic Evaluation of a Heart-Type Fatty Acid Binding Protein Based Protocol for Rapid Chest Pain Assessment. Academic Emergency Medicine, 19(6), 746-747. https://doi.org/10.1111/j.1553-2712.2012.01372.x