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  1. Point of care testing : randomised controlled trial of clinical outcome.

    Article - En anglais

    Objectives 

    To describe the proportion of patients attending an accident and emergency department for whom blood analysis at the point of care brought about a change in management ; to measure the extent to which point of care testing resulted in differences in clinical outcome for these patients when compared with patients whose samples were tested by the hospital laboratory.

    Design 

    Open, single centre, randomised controlled trial.

    Blood samples were randomly allocated to point of care testing or testing by the hospital's central laboratory.

    Setting 

    The accident and emergency department of the Bristol Royal Infirmary, a large teaching hospital which cares for an inner city population.

    Subjects 

    Representative sample of patients who attended the department between April 1996 and April 1997 and who required blood tests.

    Data collection was structured in 8 hour blocks so that all hours of the day and all days of the week were equally represented.

    Main outcome measures 

    The proportion of patients for whom point of care testing brought about a change in treatment in which timing was considered to be critical to clinical outcome. (...)

    Mots-clés Pascal : Essai thérapeutique contrôlé, Pronostic, Sang, Examen laboratoire, Urgence, Service hospitalier, Prise décision, Traitement, Mortalité, Analyse, Diagnostic, Analyse avantage coût, Economie santé, Homme

    Mots-clés Pascal anglais : Controlled therapeutic trial, Prognosis, Blood, Laboratory investigations, Emergency, Hospital ward, Decision making, Treatment, Mortality, Analysis, Diagnosis, Cost benefit analysis, Health economy, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0216063

    Code Inist : 002B27B14C. Création : 11/09/1998.