PURPOSE: Our study compared clinical decision time between patients managed with a point-of-care chemistry test (POCT) and patients managed with the traditional central laboratory test (CLT). BASIC PROCEDURE: This was a randomized controlled multicenter trial in the emergency departments (EDs) of 5 academic teaching hospitals. We randomly assigned patients to POCT or CLT stratified by the Emergency Severity Index. A POCT chemistry analyzer (Piccolo; Abaxis, Inc, Union City, Calif), which is able to test liver panel, renal panel, pancreas enzymes, lipid panel, electrolytes, and blood gases, was set up in each ED. Primary and secondary end point was turnaround time and door-to-clinical-decision time. MAIN FINDINGS:The total 2323 patients were randomly assigned to the POCT group (n = 1167) or to the CLT group (n = 1156). All of the basic characteristics were similar in the 2 groups. The turnaround time (median, interquartile range [IQR]) of the POCT group was shorter than that of the CLT group (14, 12-19 versus 55, 45-69 minutes; P < .0001). The median (IQR) door-to-clinical-decision time was also shorter in the POCT compared with the CLT group (46, 33-61 versus 86, 68-107 minutes; P < .0001). The proportion of patients who had new decisions within 60 minutes was 72.8% for the POCT group and 12.5% for the CLT group (P < .0001). CONCLUSIONS: A POCT chemistry analyzer in the ED shortens the test turnaround and ED clinical decision times compared with CLT.
RCT Entities:
PURPOSE: Our study compared clinical decision time between patients managed with a point-of-care chemistry test (POCT) and patients managed with the traditional central laboratory test (CLT). BASIC PROCEDURE: This was a randomized controlled multicenter trial in the emergency departments (EDs) of 5 academic teaching hospitals. We randomly assigned patients to POCT or CLT stratified by the Emergency Severity Index. A POCT chemistry analyzer (Piccolo; Abaxis, Inc, Union City, Calif), which is able to test liver panel, renal panel, pancreas enzymes, lipid panel, electrolytes, and blood gases, was set up in each ED. Primary and secondary end point was turnaround time and door-to-clinical-decision time. MAIN FINDINGS: The total 2323 patients were randomly assigned to the POCT group (n = 1167) or to the CLT group (n = 1156). All of the basic characteristics were similar in the 2 groups. The turnaround time (median, interquartile range [IQR]) of the POCT group was shorter than that of the CLT group (14, 12-19 versus 55, 45-69 minutes; P < .0001). The median (IQR) door-to-clinical-decision time was also shorter in the POCT compared with the CLT group (46, 33-61 versus 86, 68-107 minutes; P < .0001). The proportion of patients who had new decisions within 60 minutes was 72.8% for the POCT group and 12.5% for the CLT group (P < .0001). CONCLUSIONS: A POCT chemistry analyzer in the ED shortens the test turnaround and ED clinical decision times compared with CLT.
Authors: Adrien Auvet; Fabien Espitalier; Leslie Grammatico-Guillon; Mai-Anh Nay; Djilali Elaroussi; Marc Laffon; Christian R Andres; Annick Legras; Stephan Ehrmann; Pierre-François Dequin; Chantal Gendrot; Antoine Guillon Journal: Ann Intensive Care Date: 2016-06-24 Impact factor: 6.925
Authors: Jun Ho Son; SoonGweon Hong; Amanda J Haack; Lars Gustafson; Minsun Song; Ori Hoxha; Luke P Lee Journal: Adv Healthc Mater Date: 2015-11-23 Impact factor: 9.933
Authors: Clare Goyder; Pui San Tan; Jan Verbakel; Thanusha Ananthakumar; Joseph J Lee; Gail Hayward; Philip J Turner; Ann Van Den Bruel Journal: BMJ Open Date: 2020-02-27 Impact factor: 2.692