Abstract 12335: Increasing Awareness About Appropriate High Sensitivity Troponin Use in the Acute Care Setting: Is a Web Based Training Interface the Solution?

Abstract

Introduction: High sensitivity troponin (hs-cTnT and hs-cTnI) aimed to reduce costs, observation times and hospital stays. However, since their implementation in many hospital systems across the US many healthcare professionals still struggle in regards to their appropriate utility and interpretation. Hypothesis: We assessed the hypothesis that a web-based training interface is an effective tool to increase education about the proper utility and interpretation of High sensitivity troponin in an acute care setting. Methodology: A web-based training interface was designed with 2 pre-education questions, a slide show based on the 2021 guidelines for chest pain (ie ordering troponin based on presentation, 0+1/2/3 hour) and 2 post-education questions. This interface was sent out to healthcare professionals in a community hospital through email bursts and QR codes. 52 providers participated in the training interface: Internal Medicine residents (n=24), Hospital medicine attendings (n=13), Cardiology Attendings (n=3), Emergency medicine attendings (n=3) and Advanced practice providers (APPs), included nurse practioners and physician assistants (n=9). We measured change in awareness of appropriate and inappropriate troponin use. Fisher's exact test was performed to compare all subgroups. P value <0.05 was considered significant. Results: Our study showed that a web-based training interface increased awareness in the proper usage of high sensitivity troponin across all provider subgroups, with statistically significant results seen among APPs and Resident physicians [Figure]. Conclusion: In conclusion, web-based training applications are a good tool to use when providing information to large numbers of people about high yield topics such as the proper use of and interpretation of High sensitivity troponin and can increase awareness when used appropriately.