Is the Current Threshold for Diagnosis of "Abnormality", Including Non ST Elevation Myocardial Infarction, Using Raised Highly Sensitive Troponin Appropriate for a Hospital Population? The CHARIOT Study
NCT03047785 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 20000
Last updated 2020-12-11
Summary
Currently when defining the upper limit of normal (ULN) or 99th percentile of a troponin assay manufacturer's use a healthy population traditionally aged 18-40. The 99th percentile value is the recommended value to use when diagnosing patients with an acute myocardial infarction. With the advent of the new highly sensitive troponin assays it has become clear that many patients have a troponin level above the 99th percentile when they have not suffered a myocardial infarction. We believe part of the problem with interpreting the the troponin values for patients is that the 99th percentile value which determines the ULN has been derived from population that is very different to the hospital population of patients. This study aims to demonstrate what the 99th percentile is for the population of people who use the hospital services who are traditionally older and have more comorbidities when compared to the population traditionally used to define the 99th percentile of a troponin assay.
An amendment was approved to follow-up patients' clinical outcomes at 1 year using NHS Digital data.
Conditions
Sponsors & Collaborators
-
University Hospital Southampton NHS Foundation Trust
lead OTHER
Principal Investigators
-
Nick Curzen, BM, PhD · Southampton NHS Trust
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-06-29
- Primary Completion
- 2017-12-01
- Completion
- 2017-12-01
Countries
- United Kingdom
Study Locations
More Related Trials
-
Quantification and Description of the Increase in Serum Troponin Following Acute Coronary Syndrome
NCT01698021 ·Status: UNKNOWN
-
Place of Copeptin-troponin Assay in the Elimination Diagnosis of Non-ST+ ACS
NCT05902117 ·Status: COMPLETED ·Phase: NA
-
A Prospective Comparison of Cardiac Troponin T and Troponin I in the Diagnosis of Myocardial Infarction
NCT04087538 ·Status: UNKNOWN
-
Clinical and Economic Outcomes of High Sensitivity Troponin for no ST Elevation Myocardial Infarction in Patients With Chest Pain in Emergency Departments in Italy-An Observational Study
NCT03489603 ·Status: COMPLETED
-
Troponin in Acute Chest Pain to Risk Stratify and Guide EffecTive Use of Computed Tomography Coronary Angiography
NCT03952351 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Study on High-sensitivity Troponin 0h/1h for Rapid Diagnosis of Non-ST-segment Elevation Myocardial Infarction in the Chinese Population
NCT03331549 ·Status: UNKNOWN
-
High-Sensitivity Troponin in the Evaluation of Patients With Acute Coronary Syndrome
NCT01852123 ·Status: COMPLETED ·Phase: NA
-
Troponin POCT in the Diagnosis of an Acute Myocardial Infarction
NCT03400553 ·Status: COMPLETED ·Phase: NA
-
Induced Myocardial Ischemia: a Serial Troponin T and Troponin I Measurements
NCT03203057 ·Status: COMPLETED
-
Prognostic Role of High Sensitivity Troponin During Follow up in the Evolution of Acute Myocarditis
NCT05949450 ·Status: NOT_YET_RECRUITING
-
Usefulness of a 2-hour Delta Troponin-I During the ED Identification and Exclusion of Acute Myocardial Infarction
NCT02002546 ·Status: COMPLETED
-
Optimum Troponin Cutoffs for ACS in the ED
NCT01994577 ·Status: COMPLETED
-
Pre-hOspital Evaluation of Chest Pain Patients With sUspected Non ST-segment eLevation myocARdial Infarction Using the HEART-score With a Troponin Point-of-care Test
NCT04851418 ·Status: UNKNOWN
-
Trial of Cardiac CT in Acute Chest Patients With Intermediate Level Initial High-sensitivity Cardiac Troponin
NCT03583320 ·Status: UNKNOWN ·Phase: NA
-
Rapid and Highly Sensitive Detection of Fluorescently-labeled Troponin in Patients Admitted With Chest Pain
NCT02897492 ·Status: COMPLETED
-
Efficacy of the CARE Rule Associated With the HEART Score in Patients With Emergency Chest Pain
NCT04157790 ·Status: COMPLETED ·Phase: NA
-
Angioplasty to Blunt the Rise of Troponin in Acute Coronary Syndrome (ACS)
NCT00442949 ·Status: COMPLETED ·Phase: NA
-
A Study of Population and Sex-specific Troponin Cutoffs for Ruling Out Acute Myocardial Infarction
NCT05336435 ·Status: COMPLETED ·Phase: NA
-
Prognostic Relevance of High-sensitivity Troponin in Patients With Acute Decompensated Heart Failure
NCT01429857 ·Status: COMPLETED
-
Minor Troponin Elevations in Patients With Atrial Fibrillation
NCT03683836 ·Status: COMPLETED
-
Feasibility and Security of a Rapid Rule-out and rule-in Troponin Protocol in the Management of NSTEMI in an Emergency Departement
NCT03668587 ·Status: COMPLETED
-
TROPOnin FRAGMentation in Myocardial Injury Study
NCT04465591 ·Status: RECRUITING
-
Effect of Point-of-care Analysis of Ultrasensitive Troponin I on Length of Hospital Stay in Patients With Cardiac Chest Pain (POC Troponina)
NCT06861582 ·Status: RECRUITING ·Phase: NA
-
Effectiveness and Safety of a Clinical Assessment and 0h/1h Troponin Rule-Out Protocol
NCT03421873 ·Status: COMPLETED
-
Reliability of Cardiac Troponins for the Diagnosis of Myocardial Infarction in the Presence of Skeletal Muscle Disease
NCT03660969 ·Status: ACTIVE_NOT_RECRUITING