Clinical, Operative, and Economic Outcomes of the Point-of-Care Blood Gases in the Nephrology Department of a Third-Level Hospital
| Autor: | Gloria del Peso Gilsanz, Mariana Díaz Almirón, Sara Afonso Ramos, Antonio Buño Soto, Paloma Oliver Sáez, Pilar Fernández Calle, Ana Laila Qasem Moreno |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Point-of-Care Systems 030232 urology & nephrology Turnaround time pCO2 Patient care Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Humans Medicine Point of care Blood gas analysis Nephrology department business.industry Blood gas analyzer 030208 emergency & critical care medicine General Medicine Venous blood Medical Laboratory Technology Nephrology Point-of-Care Testing Emergency medicine Kidney Diseases Blood Gas Analysis business |
| Zdroj: | Archives of Pathology & Laboratory Medicine. 144:1209-1216 |
| ISSN: | 1543-2165 0003-9985 |
| Popis: | Context.— Point-of-care testing allows rapid analysis and short turnaround times. To the best of our knowledge, the present study assesses, for the first time, clinical, operative, and economic outcomes of point-of-care blood gas analysis in a nephrology department. Objective.— To evaluate the impact after implementing blood gas analysis in the nephrology department, considering clinical (differences in blood gas analysis results, critical results), operative (turnaround time, elapsed time between consecutive blood gas analysis, preanalytical errors), and economic (total cost per process) outcomes. Design.— A total amount of 3195 venous blood gas analyses from 688 patients of the nephrology department before and after point-of-care blood gas analyzer installation were included. Blood gas analysis results obtained by ABL90 FLEX PLUS were acquired from the laboratory information system. Statistical analyses were performed using SAS 9.3 software. Results.— During the point-of-care testing period, there was an increase in blood glucose levels and a decrease in pCO2, lactate, and sodium as well as fewer critical values (especially glucose and lactate). The turnaround time and the mean elapsed time were shorter. By the beginning of this period, the number of preanalytical errors increased; however, no statistically significant differences were found during year-long monitoring. Although there was an increase in the total number of blood gas analysis requests, the total cost per process decreased. Conclusions.— The implementation of a point-of-care blood gas analysis in a nephrology department has a positive impact on clinical, operative, and economic terms of patient care. |
| Databáze: | OpenAIRE |
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