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{
    "pk": 12733,
    "title": "Role of Point-of-Care Testing in Reducing Time to Treatment Decision-Making in Urgency Patients: A Randomized Controlled Trial",
    "subtitle": null,
    "abstract": "Introduction:\n Shortening emergency department (ED) visit time can reduce ED crowding, morbidity and mortality, and improve patient satisfaction. Point-of-care testing (POCT) has the potential to decrease laboratory turnaround time, possibly leading to shorter time to decision-making and ED length of stay (LOS). We aimed to determine whether the implementation of POCT could reduce time to decision-making and ED LOS.\nMethods:\n We conducted a randomized control trial at the Urgency Room of Siriraj Hospital in Bangkok, Thailand. Patients triaged as level 3 or 4 were randomized to either the POCT or central laboratory testing (CLT) group. Primary outcomes were time to decision-making and ED LOS, which we compared using Mann-Whitney-Wilcoxon test.\nResults:\n We enrolled a total of 248 patients: 124 in the POCT and 124 in the CLT group. The median time from arrival to decision was significantly shorter in the POCT group (106.5 minutes (interquartile [IQR] 78.3-140) vs 204.5 minutes (IQR 165-244), p <0.001). The median ED LOS of the POCT group was also shorter (240 minutes (IQR 161.3-410) vs 395.5 minutes (IQR 278.5-641.3), p <0.001).\nConclusion:\n Using a point-of-care testing system could decrease time to decision-making and ED LOS, which could in turn reduce ED crowding.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "point of care, decision making, emergency department, cost-effectiveness"
        }
    ],
    "section": "Emergency Department Administration",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9fd8t75d",
    "frozenauthors": [
        {
            "first_name": "Wansiri",
            "middle_name": "",
            "last_name": "Chaisirin",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Preechaya",
            "middle_name": "",
            "last_name": "Wongkrajang",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Clinical Pathology, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Tenzin",
            "middle_name": "",
            "last_name": "Thoesam",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Nattakarn",
            "middle_name": "",
            "last_name": "Praphruetkit",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Tanyaporn",
            "middle_name": "",
            "last_name": "Nakornchai",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Sattha",
            "middle_name": "",
            "last_name": "Riyapan",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Onlak",
            "middle_name": "",
            "last_name": "Ruangsomboon",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Sathima",
            "middle_name": "",
            "last_name": "Laiwejpithaya",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Clinical Pathology, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Kavisara",
            "middle_name": "",
            "last_name": "Rattanathummawat",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Clinical Pathology, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Rungrudee",
            "middle_name": "",
            "last_name": "Pavichai",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Outpatient unit, Bangkok, Thailand",
            "department": "None"
        },
        {
            "first_name": "Tipa",
            "middle_name": "",
            "last_name": "Chakorn",
            "name_suffix": "",
            "institution": "Siriraj Hospital, Mahidol University, Department of Emergency Medicine, Bangkok, Thailand",
            "department": "None"
        }
    ],
    "date_submitted": "2019-05-05T16:37:49Z",
    "date_accepted": "2019-05-05T16:37:49Z",
    "date_published": "2020-02-25T21:51:58Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12733/galley/6722/download/"
        }
    ]
}