Overcrowding in the ED
The ED is one of the most crowded hospital units, where patients with various medical conditions, including high-risk cardiac patients, are assessed.2
Overview
Chest pain in the emergency department (ED): delayed diagnosis
It is established that overcrowding in hospitals represents one of the main problems affecting global health and the functioning of healthcare systems worldwide over the last few decades, particularly in the emergency department.1 This overcrowding presents significant challenges, especially when it comes to swiftly diagnosing critical conditions such as chest pain. The high volume of patients can overwhelm even experienced physicians, making it increasingly important to simplify troponin interpretation and rely on evidence-based recommendations for accurate diagnosis. We need to address these challenges.
Burden on physicians
Physicians in the ED are expected to make life-saving decisions, act fast and use as little resources as possible, while continuing to provide good quality of patient care.
Delayed chest pain diagnosis
Global adoption of hs-cTn assays and accelerated diagnostic protocols (ADP) is lagging,3 as well as drawing blood within the ideal time frames to meet the recommended 0/1 hour protocol according to ESC.3
navify® Algorithms, Chest Pain Triage algorithm
Transform your emergency department with Chest Pain Triage algorithm: aiding physicians in the diagnosis and risk stratification of adult patients with suspected acute coronary syndrome (ACS), using high-sensitive troponin* and evidence-based recommendations, adhering to European Society of Cardiology (ESC) guidelines.
Overcrowding and uncertainty leads to longer length of stay in the ED
The extended length of stay in the emergency department is a concern, averaging 10.1 ± 4.1 hours.4 Yet most are not having a heart attack. Physicians need a simple way to interpret troponin levels and adhere to ESC guidelines. Implementation of an early rule-out pathway can reduce ED visits by 3.3 hours and hospital admissions by 59%.4
10.1hours in the ED.4
In-patient services are full. ..they accumulate in the emergency department... As a result, we're seeing a large portion of our patients in hallways.
Address overcrowding and bed occupancy with an integrated digital solution
Medical algorithms can help support make fast decision-making by improving efficiency to address overcrowding and bed occupancy. Watch the video.
Clinical decision support for chest pain patients
Enhance your emergency department with a cutting-edge, EMR-integrated solution. Chest Pain Triage empowers ED physicians to implement ESC chest pain guidelines and streamline troponin interpretation for suspected ACS patients, supporting timely clinical decisions.
Integrated into the patient record
Data is automatically prepopulated from the EMR.
Automatically selects the ESC 0/1, 0/2, or 0/3h protocol
Designed to support a busy ED workflow and variable blood draw times.
Provides a guideline-based recommendation
Get a recommendation for Rule-In, Rule-Out or Observe as a next step.
Optimize chest pain management:
Improve the triage of suspected Acute Coronary Syndrome (ACS) patients in the Emergency Department with our CE-marked** Chest Pain Triage algorithm. Designed to enhance compliance with ESC protocols, this algorithm ensures automatic accurate selection of 0/1, 0/2, and 0/3 hour hs-cTn protocols. Download the info sheet to discover how our tool can support confident, guideline-based decisions, automate documentation and facilitate better patient outcomes in critical moments.
Streamline cardiac care with direct workflow integration
Discover how navify Algorithms for Cardiology can enhance personalized patient management in the emergency department. Our comprehensive hub supports timely diagnosis and risk stratification for acute coronary syndrome (ACS), heart failure (HF) and atrial fibrillation (AF). Download the info sheet to learn how to empower your practice and improve outcomes for high-risk cardiac patients.
Benefits
Unlocking the advantages: Chest Pain Triage algorithm benefits
By focusing on three key benefits streamlined troponin interpretation, alignment with ESC guidelines and easy EMR integration this algorithm is designed to enhance clinical decision-making for better patient care. For more info, get in touch or request a demo.
Troponin interpretation
Simplifies the evaluation of troponin levels in suspected ACS cases.
ESC guidelines integration
Provides recommendations in adherence to established clinical protocols.
EMR integration
Fits into existing workflows for enhanced efficiency and accuracy.
The Chest Pain Triage algorithm in clinical guidelines
Discover how the Chest Pain Triage algorithm aligns with the 2021 AHA/ACC Clinical Practice Guidelines for the Evaluation and Diagnosis of Chest Pain. This comprehensive guideline, developed through extensive research, provides evidence-based recommendations for clinicians, enhancing patient care through effective risk stratification and shared decision-making. Elevate your practice with a tool backed by the latest expert consensus.
Digital tools could improve triage. The most important limitation of current triage is that the time between blood sampling is not correctly considered.
Integration via navify Algorithm Suite
Experience a single integrated platform designed for healthcare providers and laboratories that simplifies IT complexity while reducing the risk of vulnerabilities. With integrated Roche and partner medical algorithms, we provide a comprehensive solution that streamlines processes and enhances collaboration.
Single point of contact for customer support
Roche offers centralized customer support for all algorithms in our portfolio to ensure consistency and reliability. We manage issues that arise for all hosted algorithms, streamlining the process and eliminating the need for customers to engage with individual providers.
Security and data privacy
Security and data privacy are central to Roche's operations, founded on a "Security and Privacy by Design" philosophy and ISO/IEC 27001 certification. Our dedicated technical team performs ongoing risk assessments, penetration tests, and network monitoring to minimize IT complexity and vulnerabilities, prioritizing data confidentiality to protect patient information across all partners.
Transform your cardiology practice with our integrated algorithm demo
Elevate your clinical decision-making with our on-demand demo showcasing how our innovative cardiac algorithms are seamlessly integrated into the clinician's workflow. With a focus on enhancing patient management, this demo uses the Chest Pain Triage algorithm as a prime example of how our entire portfolio of navify Algorithms for Cardiology operates within your practice. Experience firsthand how these advanced tools work together to streamline patient care and improve outcomes. Fill out the form to access the demo and see the future of cardiology in action.
Frequently asked questions
If you don’t find answers to your questions here, we’re happy to provide more information and discuss your needs in detail.
What is the origin of the Chest Pain Triage algorithm?
The algorithm was developed through collaboration with Universitätsklinikum Heidelberg, leveraging research conducted there to optimize the usage of ESC pathways in a busy ED environment.
What is the objective of the algorithm?
The main objective is to increase efficiencies in the ED by digitizing the ESC chest pain guidelines. The algorithm automatically chooses the right chest pain pathway (0/1h, 0/2h, 0/3h) based on the blood sample time and provides a recommendation to rule-in, rule-out or observe patients presenting with chest pain to the ED.
What data is needed to use the algorithm?
The algorithm is following the ESC guidelines for chest pain. In this way, it uses a single or serial troponin result and the associated blood draw times. In addition, the chest pain onset time should be entered to make use of the so-called rapid rule-in or rule-out with the first troponin result.
Which troponin assay is compatible with the Chest Pain Triage algorithm?
Currently, only the Roche hs-TnT (gen5) has been validated for use with the algorithm.
How does the data get included into the algorithm?
A full integration into the EMR and patient record, with an automated prepopulation of algorithm inputs, is the preferred method. Manual entry of some or all the inputs is also possible in cases where not all parameters are available.
Roche
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Visit website- Savioli G, et al. Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions. Journal of personalized medicine. 2022;12(2): 279.
- Sartini M, et al. Overcrowding in Emergency Department: Causes, consequences, and solutions – a narrative review. Healthcare (Basel). 2022 Aug;10(9):1625.
- Giannitsis E, et al. Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome. Clin Res Cardiol. 2021 Sep;110(9):1353-1368.
- Anand A, et al. High-sensitivity cardiac troponin on presentation to rule out myocardial infarction: A stepped-wedge cluster randomized controlled trial. Circulation. 2021 Jun;143(23):2214-2224.
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- *Elecsys Troponin T- high sensitive assay results must be used as input for the Chest Pain Triage algorithm. Assay results from other manufacturers have not been validated for use with the Chest Pain Triage algorithm.
- **Chest Pain Triage algorithm is a CE-marked Class C IVD for Near Patient Testing (NPT) under the EU IVDR, certified by Notified Body 0123 (TÜV SÜD).