Effect of point of care testing on length of stay in an adult emergency department.

作者: Robert P Murray , Michael Leroux , Edward Sabga , Wes Palatnick , Louis Ludwig

DOI: 10.1016/S0736-4679(99)00107-9

关键词: In patientRandomized controlled trialInterquartile rangeEmergency departmentMedicinePoint-of-care testingPediatricsCentral laboratoryTime savingClinical trial

摘要: Devices are now available that practical for point of care testing (PCT) in hospital settings. Previous studies clinical settings, however, have failed to demonstrate a reduction patients' length stay (LOS) associated with the use PCT. This randomized controlled study compared PCT central laboratory Emergency Department assess difference LOS. Patients (n = 93) had median 3 h, 28 min (interquartile range [IR] 2:28 5:30), while those allocated 87) 4 22 (IR 3:04 5:47). The was significantly shorter. Among patients who were destined be discharged home, there also shorter stay, but not among admitted. It concluded can achieve significant time savings an Department.

参考文章(7)
C A Parvin, S F Lo, S M Deuser, L G Weaver, L M Lewis, M G Scott, Impact of point-of-care testing on patients' length of stay in a large emergency department. Clinical Chemistry. ,vol. 42, pp. 711- 717 ,(1996) , 10.1093/CLINCHEM/42.5.711
M.Henry Gault, Cheryl E. Harding, Evaluation of i-STAT portable clinical analyzer in a hemodialysis unit Clinical Biochemistry. ,vol. 29, pp. 117- 124 ,(1996) , 10.1016/0009-9120(96)02028-0
Vicki M. Sands, Paul S. Auerbach, Jonathan Birnbaum, Maurice Green, Evaluation of a Portable Clinical Blood Analyzer in the Emergency Department Academic Emergency Medicine. ,vol. 2, pp. 172- 178 ,(1995) , 10.1111/J.1553-2712.1995.TB03190.X
J. Kendall, B. Reeves, M. Clancy, Point of care testing: randomised controlled trial of clinical outcome. BMJ. ,vol. 316, pp. 1052- 1057 ,(1998) , 10.1136/BMJ.316.7137.1052
Jayasimha N. Murthy, Jocelyn M. Hicks, Steven J. Soldin, EVALUATION OF I-STAT PORTABLE CLINICAL ANALYZER IN A NEONATAL AND PEDIATRIC INTENSIVE CARE UNIT Clinical Biochemistry. ,vol. 30, pp. 385- 389 ,(1997) , 10.1016/S0009-9120(97)00046-5
Jannie Woo, John Bernard Mccabe, Dale Chauncey, Thatcher Schug, John Bernard Henry, The evaluation of a portable clinical analyzer in the emergency department. American Journal of Clinical Pathology. ,vol. 100, pp. 599- 605 ,(1993) , 10.1093/AJCP/100.6.599