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2025

Journal Article

Cost-effectiveness of the transition from conventional to high-sensitivity troponin assay for the investigation and management of suspected acute coronary syndrome in the emergency department

Pincombe, Aubyn, Gray, Jodi, Hickling, Siobhan, Sanfilippo, Frank, Briffa, Tom, Cullen, Louise, Chew, Derek, Hillis, Graham, Fatovich, Daniel, Rankin, Jamie, Nedkoff, Lee, Scanlan, Samuel, Hickman, Peter E., Stapleton, Stuart, Parsonage, William, Mitra, Biswadev, Schneider, Hans G., Wilkes, Garry, Robinson, Teagan and Karnon, Jonathan (2025). Cost-effectiveness of the transition from conventional to high-sensitivity troponin assay for the investigation and management of suspected acute coronary syndrome in the emergency department. American Heart Journal, 287, 107-118. doi: 10.1016/j.ahj.2025.03.022

Cost-effectiveness of the transition from conventional to high-sensitivity troponin assay for the investigation and management of suspected acute coronary syndrome in the emergency department

2025

Conference Publication

Costs and Healthcare Utilisation for Aboriginal and Torres Strait Islander People With Suspected Acute Coronary Syndrome

Stephensen, L., Mahoney, R., Cullen, L. and Parsonage, W. (2025). Costs and Healthcare Utilisation for Aboriginal and Torres Strait Islander People With Suspected Acute Coronary Syndrome. Cardiac Society of Australia and New Zealand 4th Indigenous Cardiovascular Health Conference 2025, Sydney, NSW Australia, 17–19 June 2025. Chatswood, NSW Australia: Elsevier. doi: 10.1016/j.hlc.2025.05.069

Costs and Healthcare Utilisation for Aboriginal and Torres Strait Islander People With Suspected Acute Coronary Syndrome

2025

Journal Article

Implementing best practice for peripheral intravenous cannula use in Australian emergency departments: a stepped-wedge cluster-controlled trial and health economic analysis protocol

Egerton-Warburton, Diana, Kuhn, Lisa, Enticott, Joanne, Yang, Sundy Ni-Yen, Buntine, Paul, Callander, Emily, Cullen, Louise, Fatovich, Daniel, Hullick, Carolyn, Heiss, Leah, Keijzers, Gerben, Le, Long Khanh-Dao, Mihalopoulos, Cathrine, Morphet, Julia, O’Reilly, Gerard, Pokhrel, Bibesh, Rickard, Claire, Tran, Viet, Cameron, Peter and Teede, Helena J (2025). Implementing best practice for peripheral intravenous cannula use in Australian emergency departments: a stepped-wedge cluster-controlled trial and health economic analysis protocol. BMJ Open, 15 (6) e096962, e096962-6. doi: 10.1136/bmjopen-2024-096962

Implementing best practice for peripheral intravenous cannula use in Australian emergency departments: a stepped-wedge cluster-controlled trial and health economic analysis protocol

2025

Conference Publication

Listening to See: Co-Designing the Powerful Pictures Model of Care With Aboriginal and Torres Strait Islander Communities and Health Services

Goodman, A., Allen, M., McKivett, A., Thorne, T., Stephenson, L., Cullen, L., Parsonage, W. and Mahoney, R. (2025). Listening to See: Co-Designing the Powerful Pictures Model of Care With Aboriginal and Torres Strait Islander Communities and Health Services. Cardiac Society of Australia and New Zealand 4th Indigenous Cardiovascular Health Conference 2025, Sydney, NSW Australia, 17–19 June 2025. Chatswood, NSW Australia: Elsevier. doi: 10.1016/j.hlc.2025.05.012

Listening to See: Co-Designing the Powerful Pictures Model of Care With Aboriginal and Torres Strait Islander Communities and Health Services

2025

Journal Article

Potential length of stay reductions from emergency department use of a point-of-care high-sensitivity cardiac troponin assay: Pilot findings from Australia's first cardiac emergency department

Meek, Robert, Hayden, Georgina, Lu, Zhong X., Damianopoulos, Adam, Cullen, Louise, Kumarakurusingham, Evan, Pathirana, Pavith, Than, Martin, Pickering, John W., Doery, James, Duong, Alex and Egerton-Warburton, Diana (2025). Potential length of stay reductions from emergency department use of a point-of-care high-sensitivity cardiac troponin assay: Pilot findings from Australia's first cardiac emergency department. Emergency Medicine Australasia, 37 (2) e70041, e70041. doi: 10.1111/1742-6723.70041

Potential length of stay reductions from emergency department use of a point-of-care high-sensitivity cardiac troponin assay: Pilot findings from Australia's first cardiac emergency department

2025

Journal Article

Evidence-based medicine and the cardiac troponin 99th percentile for the diagnosis of acute myocardial infarction

Hickman, Peter E, Potter, Julia M, Cullen, Louise, Eggers, Kai M, Than, Martin, Pickering, John W, Parsonage, William and Doust, Jenny (2025). Evidence-based medicine and the cardiac troponin 99th percentile for the diagnosis of acute myocardial infarction. European Heart Journal: Acute Cardiovascular Care, 14 (3), 183-188. doi: 10.1093/ehjacc/zuaf007

Evidence-based medicine and the cardiac troponin 99th percentile for the diagnosis of acute myocardial infarction

2025

Journal Article

Re-engineering the clinical approach to suspected cardiac chest pain assessment in the emergency department by expediting research evidence to practice using artficial intelligence. (RAPIDx AI) – a cluster randomised study design

Khan, Ehsan, Lambrakis, Kristina, Briffa, Tom, Cullen, Louise A, Karnon, Jonathon, Papendick, Cynthia, Quinn, Stephen, Tideman, Phil, Hengel, Anton Van Den, Verjans, Johan and Chew, Derek P (2025). Re-engineering the clinical approach to suspected cardiac chest pain assessment in the emergency department by expediting research evidence to practice using artficial intelligence. (RAPIDx AI) – a cluster randomised study design. American Heart Journal, 285, 106-118. doi: 10.1016/j.ahj.2025.02.016

Re-engineering the clinical approach to suspected cardiac chest pain assessment in the emergency department by expediting research evidence to practice using artficial intelligence. (RAPIDx AI) – a cluster randomised study design

2025

Journal Article

Transitioning to high-sensitivity troponin: 1-year mortality outcomes in patients with suspected acute coronary syndrome presenting to emergency departments

Hickling, Siobhan, Sanfilippo, Frank M, Cullen, Louise, Chew, Derek P, Hillis, Graham S, Fatovich, Daniel M, Karnon, Jonathon, Rankin, Jamie, Nedkoff, Lee, Scanlan, Samuel, Hickman, Peter E, Stapleton, Stuart, Knuiman, Matthew, Parsonage, William, Mitra, Biswadev, Schneider, Hans G, Wilkes, Garry, Robinson, Teagan and Briffa, Tom (2025). Transitioning to high-sensitivity troponin: 1-year mortality outcomes in patients with suspected acute coronary syndrome presenting to emergency departments. Heart, 111 (10) 324959, heartjnl-2024. doi: 10.1136/heartjnl-2024-324959

Transitioning to high-sensitivity troponin: 1-year mortality outcomes in patients with suspected acute coronary syndrome presenting to emergency departments

2025

Journal Article

Prognostic Implications of Machine Learning Algorithm–Supported Diagnostic Classification of Myocardial Injury Using the Fourth Universal Definition of Myocardial Infarction

Lambrakis, Kristina, Khan, Ehsan, Liao, Zhibin, Gerlach, Joey, Nelson, Adam J., Goodman, Shaun G., Briffa, Tom, Cullen, Louise, Verjans, Johan and Chew, Derek P. (2025). Prognostic Implications of Machine Learning Algorithm–Supported Diagnostic Classification of Myocardial Injury Using the Fourth Universal Definition of Myocardial Infarction. Heart Lung and Circulation, 34 (5), 497-505. doi: 10.1016/j.hlc.2024.11.023

Prognostic Implications of Machine Learning Algorithm–Supported Diagnostic Classification of Myocardial Injury Using the Fourth Universal Definition of Myocardial Infarction

2025

Journal Article

Effectiveness of Point-of-Care High-Sensitivity Troponin Testing in the Emergency Department: A Randomized Controlled Trial

Thulin, Viola I.L., Jordalen, Silje M.F., Myrmel, Gard M.S., Lekven, Ole Christian, Krishnapillai, Jeyaseelan, Steiro, Ole Thomas, Body, Richard, Collinson, Paul, Apple, Fred S., Cullen, Louise, Norekvål, Tone M., Wisløff, Torbjørn, Vikenes, Kjell, Bjørneklett, Rune O., Omland, Torbjørn and Aakre, Kristin M. (2025). Effectiveness of Point-of-Care High-Sensitivity Troponin Testing in the Emergency Department: A Randomized Controlled Trial. Annals of Emergency Medicine. doi: 10.1016/j.annemergmed.2025.03.005

Effectiveness of Point-of-Care High-Sensitivity Troponin Testing in the Emergency Department: A Randomized Controlled Trial

2024

Journal Article

Machine-learning for phenotyping and prognostication of myocardial infarction and injury in suspected acute coronary syndrome

Khan, Ehsan, Lambrakis, Kristina, Liao, Zhibin, Gerlach, Joey, Briffa, Tom, Cullen, Louise, Nelson, Adam J., Verjans, Johan and Chew, Derek P. (2024). Machine-learning for phenotyping and prognostication of myocardial infarction and injury in suspected acute coronary syndrome. JACC: Advances, 3 (9) 101011, 101011. doi: 10.1016/j.jacadv.2024.101011

Machine-learning for phenotyping and prognostication of myocardial infarction and injury in suspected acute coronary syndrome

2024

Journal Article

Diagnostic accuracy of a machine learning algorithm using point-of-care high-sensitivity cardiac troponin I for rapid rule-out of myocardial infarction: a retrospective study

Toprak, Betül, Solleder, Hugo, Di Carluccio, Eleonora, Greenslade, Jaimi H., Parsonage, William A., Schulz, Karen, Cullen, Louise, Apple, Fred S., Ziegler, Andreas, Stephensen, Laura, Blankenberg, Stefan, on behalf of the Artificial Intelligence in Suspected Myocardial Infarction Study (ARTEMIS) group, Brownlee, Emily, McCormick, Ellyse, Fincher, Gavin, Hall, Emma J., Hancock, Rebecca, Gaikwad, Niranjan, Gangathimmaiah, Vinay, Hamilton-Craig, Christian, Keijzers, Gerben, Hobbins-King, Andrew, Bayat, Maryam Khorramshahi, Mahmoodi, Ehsan, Perez, Siegfried, Ranasinghe, Isuru, Staib, Andrew, Zournazi, Anna and Than, Martin (2024). Diagnostic accuracy of a machine learning algorithm using point-of-care high-sensitivity cardiac troponin I for rapid rule-out of myocardial infarction: a retrospective study. The Lancet Digital Health, 6 (10), e729-e738. doi: 10.1016/s2589-7500(24)00191-2

Diagnostic accuracy of a machine learning algorithm using point-of-care high-sensitivity cardiac troponin I for rapid rule-out of myocardial infarction: a retrospective study

2024

Journal Article

Point-of-care high-sensitivity cardiac troponin in suspected acute myocardial infarction assessed at baseline and 2 h

Cullen, Louise, Greenslade, Jaimi, Parsonage, William, Stephensen, Laura, Smith, Stephen W, Sandoval, Yader, Ranasinghe, Isuru, Gaikwad, Niranjan, Khorramshahi Bayat, Maryam, Mahmoodi, Ehsan, Schulz, Karen, Than, Martin, Apple, Fred S, Brownlee, Emily, Fincher, Gavin, Hall, Emma, Hancock, Rebecca, Gangathimmaiah, Vinay, Hamilton-Craig, Christian, Hobbins-King, Andrew, Keijzers, Gerben, McCormick, Ellyse, Perez, Siegfried, Staib, Andrew, Zournazi, Anna, Than, Martin and the SAMIE and SEIGE investigators (2024). Point-of-care high-sensitivity cardiac troponin in suspected acute myocardial infarction assessed at baseline and 2 h. European Heart Journal, 45 (28), 2508-2515. doi: 10.1093/eurheartj/ehae343

Point-of-care high-sensitivity cardiac troponin in suspected acute myocardial infarction assessed at baseline and 2 h

2024

Journal Article

Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): a stepped-wedge cluster randomised quality improvement initiative

Pickering, John W., Devlin, Gerard, Body, Richard, Aldous, Sally, Jaffe, Allan S., Apple, Fred S., Mills, Nicholas, Troughton, Richard W., Kavsak, Peter, Peacock, W. Frank, Cullen, Louise, Müller, Christian, Lord, Sarah J., Joyce, Laura, Frampton, Chris, Lacey, Cameron James, Richards, Arthur M., Pitama, Suzanne and Than, Martin (2024). Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): a stepped-wedge cluster randomised quality improvement initiative. BMJ Open, 14 (6) e083752, 1-11. doi: 10.1136/bmjopen-2023-083752

Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): a stepped-wedge cluster randomised quality improvement initiative

2024

Journal Article

Clinical decision support using machine learning and natriuretic peptides for the diagnosis of acute heart failure

Lee, Kuan Ken, Doudesis, Dimitrios, Mair, Johannes, Mills, Nicholas L, Lindahl, Bertil, Boeddinghaus, Jasper, Cullen, Louise, Daniels, Lori, Hammarsten, Ola, Huber, Kurt, Giannitsis, Evangelos, Jaffe, Allan S, Kimenai, Dorien M, Krychtiuk, Konstantin, Möckel, Martin, Mueller, Christian, Thielmann, Matthias, Thygesen, Kristian, Mair, Johannes, Mills, Nicholas L and the Study Group on Biomarkers of the ESC Association for Acute Cardiovascular Care (2024). Clinical decision support using machine learning and natriuretic peptides for the diagnosis of acute heart failure. European Heart Journal: Acute Cardiovascular Care, 13 (6) zuae064, 515-516. doi: 10.1093/ehjacc/zuae064

Clinical decision support using machine learning and natriuretic peptides for the diagnosis of acute heart failure

2024

Journal Article

How to use natriuretic peptides in non-cardiac surgery

Duceppe, Emmanuelle, Mills, Nicholas L, Mueller, Christian, Giannitsis, Evangelos, Daniels, Lori, Huber, Kurt, Mair, Johannes, Cullen, Louise, Hammarsten, Ola, Möckel, Martin, Krychtiuk, Konstantin, Thygesen, Kristian, Thielmann, Matthias, Jaffe, Allan S and Study Group on Biomarkers of the ESC Association for Acute Cardiovascular Care (2024). How to use natriuretic peptides in non-cardiac surgery. European Heart Journal: Acute Cardiovascular Care, 13 (4), 380-382. doi: 10.1093/ehjacc/zuae038

How to use natriuretic peptides in non-cardiac surgery

2024

Journal Article

Derivation and validation of thresholds using synthetic data methods for single-test screening of emergency department patients with possible acute myocardial infarction using a point-of-care troponin assay

Pickering, John W, Young, Joanna M, George, Peter M, Watson, Antony S, Aldous, Sally J, Verryt, Toby, Troughton, Richard W, Pemberton, Christopher J, Richards, A Mark, Cullen, Louise A, Apple, Fred S and Than, Martin P (2024). Derivation and validation of thresholds using synthetic data methods for single-test screening of emergency department patients with possible acute myocardial infarction using a point-of-care troponin assay. The Journal of Applied Laboratory Medicine, 9 (3), 526-539. doi: 10.1093/jalm/jfae001

Derivation and validation of thresholds using synthetic data methods for single-test screening of emergency department patients with possible acute myocardial infarction using a point-of-care troponin assay

2024

Journal Article

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial

Altinger, Gemma, Sharma, Sweekriti, Maher, Chris G, Cullen, Louise, McCaffery, Kirsten, Linder, Jeffrey A, Buchbinder, Rachelle, Harris, Ian A, Coiera, Enrico, Li, Qiang, Howard, Kirsten, Coggins, Andrew, Middleton, Paul M, Gunja, Naren, Ferguson, Ian, Chan, Trevor, Tambree, Karen, Varshney, Ajay and Traeger, Adrian C (2024). Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial. BMJ Open, 14 (3) e079870, 1-12. doi: 10.1136/bmjopen-2023-079870

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial

2024

Journal Article

Lower limits for reporting high-sensitivity cardiac troponin assays and impact of analytical performance on patient misclassification

Aakre, Kristin M., Apple, Fred S., Mills, Nicolas L., Meex, Steven J.R., Collinson, Paul O., on behalf of the International Federation of Clinical Chemistry Committee on Clinical Applications of Cardiac Biomarkers (IFCC C-CB), Hammarsten, Ola, Jaffe, Allan S., Omland, Torbjørn, Cullen, Louise (International Federation of Clinical Chemistry (IFCC) Committee on Clinical Applications of Cardiac Biomarkers (C-CB) member) and Sandoval, Yader (2024). Lower limits for reporting high-sensitivity cardiac troponin assays and impact of analytical performance on patient misclassification. Clinical Chemistry, 70 (3), 497-505. doi: 10.1093/clinchem/hvad185

Lower limits for reporting high-sensitivity cardiac troponin assays and impact of analytical performance on patient misclassification

2024

Journal Article

External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction

Cullen, Louise, Greenslade, Jaimi H., Stephensen, Laura, Ranasinghe, Isuru, Gaikwad, Niranjan, Khorramshahi Bayat, Maryam, Mahmoodi, Ehsan, Than, Martin, Apple, Fred, Parsonage, William and SAMIE study group 2022 (2024). External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction. Emergency Medicine Journal, 41 (5), 313-319. doi: 10.1136/emermed-2023-213539

External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction