{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T11:48:13Z","timestamp":1774352893817,"version":"3.50.1"},"reference-count":19,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T00:00:00Z","timestamp":1357776000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"County Council of \u00d6sterg\u00f6tland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Family Medicine"],"published-print":{"date-parts":[[2013,1,10]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. \n<jats:italic>Design<\/jats:italic>. Observational, prospective, cross-sectional study with followup. \n<jats:italic>Setting<\/jats:italic>. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. \n<jats:italic>Patients<\/jats:italic>. All patients \u226535 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and\/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. \n<jats:italic>Main Outcome Measures<\/jats:italic>. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. \n<jats:italic>Results<\/jats:italic>. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.011<\/mml:mn><\/mml:mrow><\/mml:math>\n). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.369<\/mml:mn><\/mml:mrow><\/mml:math>). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. \n<jats:italic>Conclusion<\/jats:italic>. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA.<\/jats:p>","DOI":"10.1155\/2013\/532093","type":"journal-article","created":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T21:27:45Z","timestamp":1357853265000},"page":"1-7","source":"Crossref","is-referenced-by-count":33,"title":["Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care"],"prefix":"10.1155","volume":"2013","author":[{"given":"Staffan","family":"Nilsson","sequence":"first","affiliation":[{"name":"Primary Care, Department of Medical and Health Sciences, Faculty of Health Sciences, Link\u00f6ping University, East County Primary Health Care, County Council of \u00d6sterg\u00f6tland, 581 83 Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per O.","family":"Andersson","sequence":"additional","affiliation":[{"name":"Central County Primary Health Care, County Council of \u00d6sterg\u00f6tland, 581 85 Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Borgquist","sequence":"additional","affiliation":[{"name":"Primary Care, Department of Medical and Health Sciences, Faculty of Health Sciences, Link\u00f6ping University, 581 83 Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Grodzinsky","sequence":"additional","affiliation":[{"name":"Division of Biomedical Laboratory Science, Department of Medical and Health Sciences, Faculty of Health Sciences, Link\u00f6ping University, Department of R&D Unit in Local Health Care, County Council of \u00d6sterg\u00f6tland, 581 85 Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Janzon","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Faculty of Health Sciences, 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