Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Point of care technology or standard laboratory service in an emergency department: is there a difference in time to action? | Mogensen et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 49 http content 19 1 49 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Point of care technology or standard laboratory service in an emergency department is there a difference in time to action A randomised trial Christian B Mogensen 1 Anders Borch1 and Ivan Brandslund2 Abstract Background Emergency Departments ED have a high flow of patients and time is often crucial. New technologies for laboratory analysis have been developed including Point of Care Technologies POCT which can reduce the transport time and time of analysis significantly compared with central laboratory services. However the question is if the time to clinical action is also reduced if a decisive laboratory answer is available during the first contact between the patient and doctor. The present study addresses this question Does a laboratory answer provided by POCT to the doctor who first attends the patient on admission change the time to clinical decision in commonly occurring diseases in an ED compared with the traditional service from a central laboratory Methods We performed a randomised clinical trial with parallel design and allocation ratio 1 1. The eligibility Criteria were All patients referred from General Practitioner or another referring doctor suspected for a deep venous thrombosis DVT acute coronary syndrome ACS acute appendicitis AA or acute infection ABI . The outcome measure was the time spend from the blood sample was taken to a clinical decision was made. Results The study period took place in October-November 2009 and from February to April 2010. 239 patients were eligible for the study. There was no difference between the groups suspected for DVT ACS and AA but a significant reduction in time for the ABI group p where the median time to decision was reduced from 7 hours and 33 minutes to 4 hours and 38 minutes when POCT was used. Only
