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Multimarker panel in patients admitted to emergency department: a comparison with reference methods
Authors:Gruson Damien  Thys Frédéric  Ketelslegers Jean Marie  Pasquet Agnes  Delvau Nicolas  Deneys Véronique  Verschuren Franck
Affiliation:a Department of Endocrinology and Nutrition, Unit of Diabetes and Nutrition, Cliniques Universitaires St-Luc, Brussels, Belgium
b Department of Cardio-vascular Medicine, Cardiology Service, Cliniques Universitaires St-Luc, Brussels, Belgium
c Department of Acute Medicine, Emergency Unit, Cliniques Universitaires St-Luc, Brussels, Belgium
d Department of Clinical Biology, Laboratory of Haemostasis, Cliniques Universitaires St-Luc, Brussels, Belgium
Abstract:

Objectives

Point of care testing and multimarker panels are rapidly expanding in emergency departments. We determined the reliability of Short-of-Breath SOB® panel in patients admitted for acute dyspnea and/or chest pain.

Design and methods

SOB® d-dimer, BNP, cTnI, CK-MB and myoglobin assays were compared with references in 97 outpatients.

Results

The correlation between SOB® and references methods was acceptable, but with limited precision and accuracy.

Conclusions

Diagnostic performances and cut-off values should be further validated before clinicians replace traditional cardio-respiratory biomarkers by the new SOB® panel.
Keywords:Multimarker   BNP   Troponin   Dyspnea   Chest pain   Emergency triage
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