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

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Sang Do Shin, Seoul National University Hospital
ClinicalTrials.gov Identifier:
NCT01402635
First received: January 9, 2011
Last updated: July 22, 2012
Last verified: July 2012
  Purpose

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


Condition Intervention
Crowding
Device: point-of-care chemistry test(POCT) (Piccolo)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Official Title: A Randomized Controlled Trial Comparing Central Laboratory and Point-of-care Chemistry Test for Solving the Emergency Department Crowding

Further study details as provided by Seoul National University Hospital:

Primary Outcome Measures:
  • length of stay [ Time Frame: average 7days from ED visit(up to time of discharge at ED or admission to ward) ] [ Designated as safety issue: No ]
    Time interval between registration at ED and leaving at ED(discharge, admission, etc.)


Secondary Outcome Measures:
  • length of stay(subgroup) [ Time Frame: average 7days from ED visit (up to time of discharge at ED or admission to ward) ] [ Designated as safety issue: No ]
    length of stay analysis for Emergency Severity Index (ESI) 3-4, admission or discharge group


Enrollment: 10244
Study Start Date: January 2011
Study Completion Date: August 2011
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: POCT lab
The patient group whose laboratory test perform by POCT chemistry analyzer.
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.
Other Names:
  • Piccolo® xpress
  • Piccolo® Comprehensive Metabolic Reagent Disc
Active Comparator: central laboratory group(CLT)
The patients group whose laboratory test perform by central laboratory.
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.
Other Names:
  • Piccolo® xpress
  • Piccolo® Comprehensive Metabolic Reagent Disc

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.

  Eligibility

Ages Eligible for Study:   15 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01402635

Locations
Korea, Republic of
Seoul National University Hospital
Seoul, Korea, Republic of, 110-744
Sponsors and Collaborators
Seoul National University Hospital
Investigators
Principal Investigator: Sang Do Shin, MD, PhD Seoul National University Hospital
  More Information

Publications:
Responsible Party: Sang Do Shin, Associated professor, Seoul National University Hospital
ClinicalTrials.gov Identifier: NCT01402635     History of Changes
Other Study ID Numbers: SNUEMS201101
Study First Received: January 9, 2011
Last Updated: July 22, 2012
Health Authority: South Korea: Institutional Review Board

Keywords provided by Seoul National University Hospital:
crowding
Point-of-Care Systems
emergency medicine

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on July 22, 2014