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

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ClinicalTrials.gov Identifier: NCT01402635
Recruitment Status : Completed
First Posted : July 26, 2011
Last Update Posted : July 24, 2012
Sponsor:
Information provided by (Responsible Party):
Sang Do Shin, Seoul National University Hospital

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

Condition or disease Intervention/treatment
Crowding Device: point-of-care chemistry test(POCT) (Piccolo)

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 10244 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
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
Study Start Date : January 2011
Primary Completion Date : August 2011
Study Completion Date : August 2011

Arm Intervention/treatment
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



Primary Outcome Measures :
  1. length of stay [ Time Frame: average 7days from ED visit(up to time of discharge at ED or admission to ward) ]
    Time interval between registration at ED and leaving at ED(discharge, admission, etc.)


Secondary Outcome Measures :
  1. length of stay(subgroup) [ Time Frame: average 7days from ED visit (up to time of discharge at ED or admission to ward) ]
    length of stay analysis for Emergency Severity Index (ESI) 3-4, admission or discharge group



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Ages Eligible for Study:   15 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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

Publications:
Responsible Party: Sang Do Shin, Associated professor, Seoul National University Hospital
ClinicalTrials.gov Identifier: NCT01402635     History of Changes
Other Study ID Numbers: SNUEMS201101
First Posted: July 26, 2011    Key Record Dates
Last Update Posted: July 24, 2012
Last Verified: July 2012

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

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes