| Autor: |
Wansiri Chaisirin, Preechaya Wongkrajang, Tenzin Thoesam, Nattakarn Praphruetkit, Tanyaporn Nakornchai, Sattha Riyapan, Onlak Ruangsomboon, Sathima Laiwejpithaya, Kavisara Rattanathummawat, Rungrudee Pavichai, Tipa Chakorn |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Western Journal of Emergency Medicine, Vol 21, Iss 2 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
1936-9018 |
| DOI: |
10.5811/westjem.2019.10.43655 |
| Popis: |
Introduction: Shortening emergency department (ED) visit time can reduce ED crowding, morbidity and mortality, and improve patient satisfaction. Point-of-care testing (POCT) has the potential to decrease laboratory turnaround time, possibly leading to shorter time to decision-making and ED length of stay (LOS). We aimed to determine whether the implementation of POCT could reduce time to decision-making and ED LOS. Methods: We conducted a randomized control trial at the Urgency Room of Siriraj Hospital in Bangkok, Thailand. Patients triaged as level 3 or 4 were randomized to either the POCT or central laboratory testing (CLT) group. Primary outcomes were time to decision-making and ED LOS, which we compared using Mann-Whitney-Wilcoxon test. Results: We enrolled a total of 248 patients: 124 in the POCT and 124 in the CLT group. The median time from arrival to decision was significantly shorter in the POCT group (106.5 minutes (interquartile [IQR] 78.3–140) vs 204.5 minutes (IQR 165–244), p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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