Clinical, operational and economic outcomes of point-of-care blood gas analysis in COPD patients

Oliver, Paloma; Buño, Antonio; Álvarez-Sala, R; Fernández–Calle, Pilar; Alcaide, María José; Casitas, Raquel; García-Quero, Cristina; Madero, Rosário; Gómez-Rioja, Rubén; Iturzaeta, José Manuel

doi:10.1016/j.clinbiochem.2014.12.020

Cited by 8 publications

(11 citation statements)

References 18 publications

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“…The differences in TAT were similar to those calculated in previous studies performed in other environments 12 ; thus, although there was some dispersion these results were considered acceptable. Hospitalized nephrology patients could benefit from a rapid response in the presence of hyponatremia or critical potassium levels, which are important prognostic markers.…”

Section: Discussionsupporting

confidence: 86%

“…Global costs per process were remarkably lower in the POCT period, a finding that is in line with previous studies in other environments. 7,12 The fact that total costs were lower in the POCT period even when there were more BGAs performed, makes us conclude that POCT BGA allows a closer supervision of patients with no additional costs. In summary, based on this study, the implementation of a point-of-care BGA in a nephrology department has a positive impact on patient care in clinical, operative, and economic terms.…”

Section: Discussionmentioning

confidence: 74%

“…Economic outcomes.-Variables to calculate the global cost per process were obtained from studies made previously in other clinical settings, 12 in collaboration with warehouse registries of direct costs of consumables and the Official State Gazette (Boletín Oficial del Estado) for cost per hour of health professionals' work (laboratory specialist, nephrologist, nurse, laboratory technician, and nursing assistant). The time taken for each step performed by experienced health professionals was estimated by observation.…”

Section: Methodsmentioning

confidence: 99%

“…Publications regarding POCT BGA are scarce, mostly limited to emergency and pulmonology settings. [2][3][4]7,8,11,12 Publications available about POCT methods aimed at nephrologic patients are mostly for diagnosis and do not include BGA. [13][14][15][16] To the best of our knowledge, the present study assesses clinical, operative, and economic outcomes of POCT BGA in a nephrology department for the first time.…”

mentioning

confidence: 99%

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Clinical, Operative, and Economic Outcomes of the Point-of-Care Blood Gases in the Nephrology Department of a Third-Level Hospital

Moreno

Sáez

Calle

et al. 2020

Archives of Pathology &Amp; Laboratory Medicine

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Context.— Point-of-care testing allows rapid analysis and short turnaround times. To the best of our knowledge, the present study assesses, for the first time, clinical, operative, and economic outcomes of point-of-care blood gas analysis in a nephrology department. Objective.— To evaluate the impact after implementing blood gas analysis in the nephrology department, considering clinical (differences in blood gas analysis results, critical results), operative (turnaround time, elapsed time between consecutive blood gas analysis, preanalytical errors), and economic (total cost per process) outcomes. Design.— A total amount of 3195 venous blood gas analyses from 688 patients of the nephrology department before and after point-of-care blood gas analyzer installation were included. Blood gas analysis results obtained by ABL90 FLEX PLUS were acquired from the laboratory information system. Statistical analyses were performed using SAS 9.3 software. Results.— During the point-of-care testing period, there was an increase in blood glucose levels and a decrease in pCO2, lactate, and sodium as well as fewer critical values (especially glucose and lactate). The turnaround time and the mean elapsed time were shorter. By the beginning of this period, the number of preanalytical errors increased; however, no statistically significant differences were found during year-long monitoring. Although there was an increase in the total number of blood gas analysis requests, the total cost per process decreased. Conclusions.— The implementation of a point-of-care blood gas analysis in a nephrology department have a positive impact on clinical, operative, and economic terms of patient care.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 74%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Clinical, Operative, and Economic Outcomes of the Point-of-Care Blood Gases in the Nephrology Department of a Third-Level Hospital

Moreno

Sáez

Calle

et al. 2020

Archives of Pathology &Amp; Laboratory Medicine

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“…Blood evaluation through ABA requires small amounts of blood and is less dependent on operator's practice and less expensive than FCM. Additionally, ABA is more accessible, since most of the intensive care units have this equipment [16].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Automatic Blood Analyzer as Screening Method in Fetomaternal Hemorrhage

Cardoso

Souza-Araújo

Talarico

et al. 2019

BioMed Research International

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Screening of fetomaternal hemorrhage (FMH) is essential in management of fetomaternal antigen incompatibilities of blood. The objective in this study was to evaluate the ability of automatic blood analyzer (ABA) to screen FMH, also comparing this method with flow cytometry (FCM). The contents of fetal red blood cells and fetal hemoglobin were evaluated by FCM and ABA, respectively, using both blood samples of male adults laced with umbilical cord blood diluted at 1/10, 1/100, 1/1,000, and 1/10,000, or blood from puerperal women collected within 48 hours following delivery. FCM had better performance (area under curve, AUC = 0.8723) than ABA (AUC = 0.6569) in detecting fetal blood laced with blood from male adults. At a critical level of 0.5%, ABA indicated that 27.5% of puerperal women would have FMH while FCM did not detect FMH. Our results showed that ABA overestimates FMH and disagrees with FCM on indicating puerperal women with FMH. ABA is inadequate for being used to screen for or to measure FMH.

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POCT-Qualitätssicherung – ein Ländervergleich

Fraunberger

Gruber

Amiet

et al. 2017

POCT - Patientennahe Labordiagnostik

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Clinical, operational and economic outcomes of point-of-care blood gas analysis in COPD patients

Cited by 8 publications

References 18 publications

Clinical, Operative, and Economic Outcomes of the Point-of-Care Blood Gases in the Nephrology Department of a Third-Level Hospital

Clinical, Operative, and Economic Outcomes of the Point-of-Care Blood Gases in the Nephrology Department of a Third-Level Hospital

Evaluation of Automatic Blood Analyzer as Screening Method in Fetomaternal Hemorrhage

POCT-Qualitätssicherung – ein Ländervergleich

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