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The hypothesis of this study that the Point-Of-Care Chemistry Test (POCT) may shorten Emergency Department (ED) length of stay (LOS).
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| POCT lab | Experimental | The patient group whose laboratory test perform by POCT chemistry analyzer. |
|
| central laboratory group(CLT) | Active Comparator | The patients group whose laboratory test perform by central laboratory. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| point-of-care chemistry test(POCT) (Piccolo) | Device | comprehensive chemistry POCT including ALB, ALP, ALT, AST, BUN, Ca, Cl-, Cre, Glu, K+, Na+, TBil, TCO2, TP It takes 12minutes to perform analyze. |
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sang Do Shin, MD, PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 110-744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20825817 | Background | 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. |
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| ID | Term |
|---|---|
| D003441 | Crowding |
| ID | Term |
|---|---|
| D013037 | Spatial Behavior |
| D001519 | Behavior |
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