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

Primary Purpose

Crowding

Status
Completed
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
point-of-care chemistry test(POCT) (Piccolo)
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Crowding focused on measuring crowding, Point-of-Care Systems, emergency medicine

Eligibility Criteria

15 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Seoul National University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

POCT lab

central laboratory group(CLT)

Arm Description

The patient group whose laboratory test perform by POCT chemistry analyzer.

The patients group whose laboratory test perform by central laboratory.

Outcomes

Primary Outcome Measures

length of stay
Time interval between registration at ED and leaving at ED(discharge, admission, etc.)

Secondary Outcome Measures

length of stay(subgroup)
length of stay analysis for Emergency Severity Index (ESI) 3-4, admission or discharge group

Full Information

First Posted
January 9, 2011
Last Updated
July 22, 2012
Sponsor
Seoul National University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01402635
Brief Title
Can the Point-Of-Care Chemistry Test (POCT) Solve the Emergency Department (ED) Crowding?
Acronym
POCTED
Official Title
A Randomized Controlled Trial Comparing Central Laboratory and Point-of-care Chemistry Test for Solving the Emergency Department Crowding
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
August 2011 (Actual)
Study Completion Date
August 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Seoul National University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

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

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crowding
Keywords
crowding, Point-of-Care Systems, emergency medicine

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
10244 (Actual)

8. Arms, Groups, and Interventions

Arm Title
POCT lab
Arm Type
Experimental
Arm Description
The patient group whose laboratory test perform by POCT chemistry analyzer.
Arm Title
central laboratory group(CLT)
Arm Type
Active Comparator
Arm Description
The patients group whose laboratory test perform by central laboratory.
Intervention Type
Device
Intervention Name(s)
point-of-care chemistry test(POCT) (Piccolo)
Other Intervention Name(s)
Piccolo® xpress, Piccolo® Comprehensive Metabolic Reagent Disc
Intervention Description
comprehensive chemistry POCT including ALB, ALP, ALT, AST, BUN, Ca, Cl-, Cre, Glu, K+, Na+, TBil, TCO2, TP It takes 12minutes to perform analyze.
Primary Outcome Measure Information:
Title
length of stay
Description
Time interval between registration at ED and leaving at ED(discharge, admission, etc.)
Time Frame
average 7days from ED visit(up to time of discharge at ED or admission to ward)
Secondary Outcome Measure Information:
Title
length of stay(subgroup)
Description
length of stay analysis for Emergency Severity Index (ESI) 3-4, admission or discharge group
Time Frame
average 7days from ED visit (up to time of discharge at ED or admission to ward)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sang Do Shin, MD, PhD
Organizational Affiliation
Seoul National University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
20825817
Citation
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.
Results Reference
background

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

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