Point-of-care testing has a limited effect on time to clinical decision in primary health care

Scandinavian Journal of Clinical and Laboratory Investigation
Ewa GrodzinskyL Borgquist

Abstract

To investigate the clinical logistics of laboratory routines at primary health care centres (PHCs). Prospective registration was carried out for each PHC using questionnaires during 2-week intervals between the end of November 2001 and mid-January 2002. The study included 9 PHCs in the county of Ostergötland and 4 in the county of Jönköping, Sweden, with different numbers of blood tests analysed using point-of-care testing (POCT). Data for B-glucose, HbA1c, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), thyroid-stimulating hormone (TSH), T4, cholesterol, HDL-cholesterol, LDL-cholesterol and triglycerides were collected. Main outcome measures were median time from sampling to available test result (TATa) and median time from sampling to clinical decision (TATd), and the proportion of patients informed of the outcome of the blood test in question during the sampling occasion. A total of 3542 samples were collected. The median TATa showed that B-glucose, ESR and CRP were immediately analysed at all 13 PHCs. For the other tests, TATa varied from immediately to about two days. The median TATd varied from immediately to about a week. When POCT was used, 30% of the patients were informed about the outcome of the test ...Continue Reading

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Citations

Sep 10, 2010·The American Journal of Emergency Medicine·Eui Jung LeeWon Chul Cha
Jul 31, 2010·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·L Bissonnette, M G Bergeron
Feb 1, 2017·Annals of Clinical Biochemistry·Valentina PecoraroTommaso Trenti
Dec 24, 2008·Analytical and Bioanalytical Chemistry·Albrecht Pfäfflin, Erwin Schleicher

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