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首页> 外文会议>HIC 2018 >Does Point-of-Care Testing Impact Length of Stay in Emergency Departments (EDs)?: A Before and After Study of 26 Rural and Remote EDs
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Does Point-of-Care Testing Impact Length of Stay in Emergency Departments (EDs)?: A Before and After Study of 26 Rural and Remote EDs

机译：在急诊部门（EDS）中留下护理点测试时间：在26个农村和远程EDS的研究之前和之后

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The implementation of Point-of-Care Testing (PoCT) services across rural and remote emergency departments (EDs) by NSW Health Pathology has the potential to significantly improve timely access to results for certain types of pathology laboratory tests and help to deliver timely patient care. The aim of this study was to examine the impact of the implementation of PoCT on the length of stay (LOS) of patients in rural and remote EDs. A total of 3808 patients with a circulatory system illness were treated and discharged at any one of 22 rural and remote EDs during the study period. Generalised Estimating Equation (GEE) modelling was applied to examine whether the implementation of PoCT impacted the ED LOS with adjustment for a range of clinical variables. More patients were treated and discharged from these rural and remote EDs within 4-hours after the PoCT implementation (post-PoCT 86.8% versus pre-PoCT 84.3%). Although average ED LOS was 11 minutes shorter in the post-PoCT period, the impact of PoCT on ED LOS was not conclusive after considering other important clinical factors (p=0.07). This study is the one of the few to examine changes in LOS following the introduction of PoCT in EDs in Australia. The study also identified areas where more robust methods could be applied in the future as the quality of PoCT data improves to further assess the potential effects of this technology on practice and outcomes.
机译：通过NSW Health病理学跨越农村和远程急诊部门（EDS）的护理点测试（POCT）服务有可能显着改善某些类型的病理实验室测试的结果，并有助于及时患者护理。本研究的目的是审查对农村和远程EDS患者的逗留时间（LOS）实施的影响。在研究期间，共有3808例循环系统疾病的循环系统疾病进行治疗和排放，并在任何一个。广义估计方程（GEE）建模应用于检查POCT的实施是否影响了ED LOS对一系列临床变量的调整。在POCT实施后4小时内从这些农村和远程EDS处理和排放更多患者（POCT 86.8％与POPT 84.3％）。虽然在POCT期间平均ED LOS是11分钟，但在考虑到其他重要临床因素后，POCT对ED LOS的影响并没有结论（P = 0.07）。本研究是少数少数人在澳大利亚初步介绍中介绍洛杉矶的变化之一。该研究还确定了未来可以应用更强大的方法的区域，因为POCT数据的质量改善，以进一步评估该技术对实践和结果的潜在影响。

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