Literature DB >> 34079919

Diagnosis of acute serious illness: the role of point-of-care technologies.

Gregory L Damhorst1, Erika A Tyburski2,3,4, Oliver Brand2,3,5, Greg S Martin3,6,7, Wilbur A Lam2,3,8,9.   

Abstract

Access to rapid diagnostic information is a core value of point-of-care (POC) technology. This is particularly relevant in acute, emergency, and critical care settings where diagnostic speed and precision directly guide the management of patients with potentially life-threatening conditions. Many POC diagnostics described in the literature, however, remain largely unproven and have yet to enter the market entirely. Only a few have traversed the translation and commercialization pathways to reach widespread clinical adoption. Moreover, even technologies that have successfully translated to the patient bedside still frequently lack an evidence base showing improvement of clinical outcomes. In this review, we present aspects of diagnosis of acute life-threatening diseases and describe the potential role of POC technologies, emphasizing the available evidence of clinical outcomes. Finally, we discuss what is needed to identify clinically meaningful new technologies and translate them toward the long-promised goal of better health through rapid POC diagnosis.

Entities:  

Keywords:  Acute care; Critical care; Diagnostics; Microsystems; Outcomes; Point-of-care

Year:  2019        PMID: 34079919      PMCID: PMC8168915          DOI: 10.1016/j.cobme.2019.08.012

Source DB:  PubMed          Journal:  Curr Opin Biomed Eng        ISSN: 2468-4511


  84 in total

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Journal:  Clin Chem Lab Med       Date:  2014-03       Impact factor: 3.694

2.  Community-Acquired Pneumonia Requiring Hospitalization among U.S. Adults.

Authors:  Seema Jain; Wesley H Self; Richard G Wunderink; Sherene Fakhran; Robert Balk; Anna M Bramley; Carrie Reed; Carlos G Grijalva; Evan J Anderson; D Mark Courtney; James D Chappell; Chao Qi; Eric M Hart; Frank Carroll; Christopher Trabue; Helen K Donnelly; Derek J Williams; Yuwei Zhu; Sandra R Arnold; Krow Ampofo; Grant W Waterer; Min Levine; Stephen Lindstrom; Jonas M Winchell; Jacqueline M Katz; Dean Erdman; Eileen Schneider; Lauri A Hicks; Jonathan A McCullers; Andrew T Pavia; Kathryn M Edwards; Lyn Finelli
Journal:  N Engl J Med       Date:  2015-07-14       Impact factor: 91.245

3.  Providing Rapid Out of Hospital Acute Cardiovascular Treatment 3 (PROACT-3).

Authors:  Justin A Ezekowitz; Robert C Welsh; Courtney Gubbels; Neil Brass; Michael Chan; William Keeble; Fadi Khadour; Thomas L Koshy; Darren Knapp; Sanjay Sharma; Sunil Sookram; Wayne Tymchak; Dale Weiss; Cynthia M Westerhout; Paul W Armstrong
Journal:  Can J Cardiol       Date:  2014-04-18       Impact factor: 5.223

4.  Treating the troponin: adverse consequences of over-treatment of elevated troponin in non-coronary presentations.

Authors:  A Morrow; F Ahmad; C Steele; M McEntegart; D Murdoch
Journal:  Scott Med J       Date:  2018-11-14       Impact factor: 0.729

Review 5.  Does this dyspneic patient in the emergency department have congestive heart failure?

Authors:  Charlie S Wang; J Mark FitzGerald; Michael Schulzer; Edwin Mak; Najib T Ayas
Journal:  JAMA       Date:  2005-10-19       Impact factor: 56.272

6.  Transcutaneous Bilirubinometry in Jaundiced Neonates: A Randomized Controlled Trial.

Authors:  Bernice van den Esker-Jonker; Lieve den Boer; Rianne M C Pepping; Jolita Bekhof
Journal:  Pediatrics       Date:  2016-11-04       Impact factor: 7.124

7.  A multicenter randomized controlled trial comparing central laboratory and point-of-care cardiac marker testing strategies: the Disposition Impacted by Serial Point of Care Markers in Acute Coronary Syndromes (DISPO-ACS) trial.

Authors:  Richard J Ryan; Christopher J Lindsell; Judd E Hollander; Brian O'Neil; Raymond Jackson; Donald Schreiber; Robert Christenson; W Brian Gibler
Journal:  Ann Emerg Med       Date:  2008-08-08       Impact factor: 5.721

8.  Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomised trial.

Authors:  William T Abraham; Lynne W Stevenson; Robert C Bourge; Jo Ann Lindenfeld; Jordan G Bauman; Philip B Adamson
Journal:  Lancet       Date:  2015-11-09       Impact factor: 79.321

9.  Point-of-care procalcitonin test to reduce antibiotic exposure in patients hospitalized with acute exacerbation of COPD.

Authors:  Caspar Corti; Markus Fally; Andreas Fabricius-Bjerre; Katrine Mortensen; Birgitte Nybo Jensen; Helle F Andreassen; Celeste Porsbjerg; Jenny Dahl Knudsen; Jens-Ulrik Jensen
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2016-06-22

Review 10.  Systematic review of the impact of point-of-care testing for influenza on the outcomes of patients with acute respiratory tract infection.

Authors:  Ece Egilmezer; Gregory J Walker; Padmavathy Bakthavathsalam; Joshua R Peterson; J Justin Gooding; William Rawlinson; Sacha Stelzer-Braid
Journal:  Rev Med Virol       Date:  2018-08-13       Impact factor: 6.989

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Authors:  Leslie D Montgomery; Richard W Montgomery; Michael Bodo; Richard T Mahon; Frederick J Pearce
Journal:  J Electr Bioimpedance       Date:  2021-12-27
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