Fig 1.
PRISMA flow diagram illustrating the overview of the systematic literature search.
Table 1.
Study design and demographic characteristics of the included studies.
Fig 2.
Bubble plot illustrating the association between reduction in length of stay and pre-interventional emergency department length of stay.
The size of each bubble is proportional to the sample size of the study it represents.
Table 2.
Summary of troponin types used, delta troponin measurement intervals, and ED LOS reported before and after ADP implementation among the included studies.
Fig 3.
Forest plot showing the effect of delta troponin measurement interval timing on emergency department length of stay.
Fig 4.
Forest plot showing the effect of transitioning from conventional to high-sensitivity troponin assay vs. using a high-sensitivity troponin assay in the pre- and post-implementation periods on emergency department length of stay.