Can the Point-Of-Care Chemistry Test (POCT) Solve the Emergency Department (ED) Crowding?

Crowding Clinical Trial

— POCTED  

Official title:

A Randomized Controlled Trial Comparing Central Laboratory and Point-of-care Chemistry Test for Solving the Emergency Department Crowding

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01402635
• Other study ID #: SNUEMS201101
• Status: Completed
• Phase: N/A
• First received: January 9, 2011
• Last updated: July 22, 2012
• Start date: January 2011
• Est. completion date: August 2011

Study information

• Verified date: July 2012
• Source: Seoul National University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: South Korea: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The hypothesis of this study that the Point-Of-Care Chemistry Test (POCT) may shorten Emergency Department (ED) length of stay (LOS).

Description:

ED crowding is one of the most serious problems in ED. POCT has shorter turn-around time compared to centralized laboratory system. If POCT introduce to ED, it may help to shorten LOS of ED patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 10244
• Est. completion date: August 2011
• Est. primary completion date: August 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

• Patients older than 15 years

• clinically required to have chemistry lab tests

• ESI 2-5

• written agreement to participate

Exclusion Criteria:

• no agreement

• ESI level 1

• no chemistry lab

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Crowding
• Emergencies

Intervention

Device:
• point-of-care chemistry test(POCT) (Piccolo)
comprehensive chemistry POCT including ALB, ALP, ALT, AST, BUN, Ca, Cl-, Cre, Glu, K+, Na+, TBil, TCO2, TP It takes 12minutes to perform analyze.

Locations

Country	Name	City	State
Korea, Republic of	Seoul National University Hospital	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Seoul National University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (1)

Lee EJ, Shin SD, Song KJ, Kim SC, Cho JS, Lee SC, Park JO, Cha WC. A point-of-care chemistry test for reduction of turnaround and clinical decision time. Am J Emerg Med. 2011 Jun;29(5):489-95. doi: 10.1016/j.ajem.2009.11.020. Epub 2010 Apr 24. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	length of stay	Time interval between registration at ED and leaving at ED(discharge, admission, etc.)	average 7days from ED visit(up to time of discharge at ED or admission to ward)	No
Secondary	length of stay(subgroup)	length of stay analysis for Emergency Severity Index (ESI) 3-4, admission or discharge group	average 7days from ED visit (up to time of discharge at ED or admission to ward)	No