Guía sobre las pruebas de laboratorio en el lugar de asistencia al paciente (POCT)

Sáez, Paloma Oliver; Díaz, Ricardo Alonso; Hernández, Javier Lirón; Inglés, Vicente Monzó; Segarra, Xavier Navarro; Padillo, José Ángel Noval; Santiago, Manuel Otero; Cantalejo, Fernando Rodríguez; Mora, Catalina Sánchez; Fraga, Olaia Rodríguez

doi:10.1016/j.labcli.2016.03.003

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…The new lateral flow immunochromatographic tests are designed for use as a point-of-care testing (POCT) assay with individual samples, are economical, and can provide quick answers to urgent clinical questions [ 18 , 19 ]. This is the first study to evaluate calprotectin levels in PE with the Quantum Blue ® lateral flow immunochromatographic method in a multicentre cohort.…”

Section: Discussionmentioning

confidence: 99%

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A rapid calprotectin test for the diagnosis of pleural effusion

et al. 2021

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In previous studies, measuring the levels of calprotectin in patients with pleural effusion (PE) was an exceptionally accurate way to predict malignancy. Here, we evaluated a rapid method for the measurement of calprotectin levels as a useful parameter in the diagnosis of malignant pleural effusion (MPE) in order to minimise invasive diagnostic tests. Calprotectin levels were measured with Quantum Blue® sCAL (QB®sCAL) and compared with the gold standard reference ELISA method. Calprotectin levels in patients with benign pleural effusion (BPE) were significantly higher (p < 0.0001) than for MPE patients. We measured the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and positive and negative likelihood ratios (LRs) for a cut-off value of ≤ 14,150 ng/mL; the diagnostic accuracy was 64%. The odds ratio for PE calprotectin levels was 10.938 (95% CI [4.133 − 28.947]). The diagnostic performance of calprotectin concentration was better for predicting MPE compared to other individual parameters. Comparison of two assays showed a slope of 1.084, an intercept of 329.7, and a Pearson correlation coefficient of 0.798. The Bland–Altman test showed a positive bias for the QB®sCAL method compared to ELISA fCAL®. Clinical concordance between both these methods was 88.5% with a Cohen kappa index of 0.76 (95% CI [0.68 − 0.84]). We concluded that QB®sCAL is a fast, reliable, and non-invasive diagnostic tool for diagnosing MPE and represents an alternative to ELISA that could be implemented in medical emergencies.

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Section: Discussionmentioning

confidence: 99%

“…Of note, the Quantum Blue Reader from Bühlmann Laboratories AG is a portable, connectable, and quantitative POCT which is based on immunochromatography [ 18 ]. Most POCTs are easy to use and are designed to process samples that do not require special handling.…”

Section: Discussionmentioning

confidence: 99%

A rapid calprotectin test for the diagnosis of pleural effusion

et al. 2021

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“…Priorización de recursos y uso de políticas hospitalarias: las pruebas en el lugar de asistencia del paciente (point-of-care: POC) son un ejemplo de esto, pues permiten tener los resultados del laboratorio por fuera de este de forma rápida, con una buena exactitud diagnóstica, ahorro de costos y agilización en la toma de decisiones clínicas de los pacientes en los servicios de urgencias (47) .…”

Section: Unidades De Observaciónunclassified

Estrategias para la medición y el manejo de la sobreocupación de los servicios de urgencias de adultos en instituciones de alta complejidad con altos volúmenes de consulta. Revisión de la literatura

Estrada-Atehortúa¹,

Zuluaga‐Gómez²

2019

Iatreia

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La sobreocupación de los servicios de urgencias es un problema global que cada vez afecta más las instituciones de salud que atienden pacientes de mediana y alta complejidad, haciendo que estos permanezcan más tiempo en una sala de espera con la consiguiente demora en los tiempos de atención, bajo nivel de satisfacción de los usuarios, retraso en la toma de ayudas diagnósticas, retrasos al definir altas del servicio y favorecimiento de complicaciones médicas, entre otros. Para mejorar esta situación se han desarrollado estrategias como la creación de unidades de observación, unidades fast track o asignación de citas prioritarias para los pacientes que no requieren una atención urgente, de modo adicional el triaje, los exámenes point of care y la vinculación de especialistas en medicina de urgencias. Todo esto con el fin de mejorar la calidad de la atención de los pacientes, evitar que se presenten eventos adversos durante su proceso y disminuir la sobreocupación del servicio.

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“…This type of testing is termed: Point of Care Testing (POCT) [2,3]. Considering the advantages of obtaining timely readings of the biological parameters required to define the patient's most appropriate treatment, these types of device have managed to permeate the organizational culture of the healthcare institution in departments / critical areas outside hospitals (home care, General Practitioner's surgery and primary care) and in hospitals (emergency rooms, conventional and intensive care units) [4]. As a result, currently, one in four tests is carried out at the patient care site, with a growth rate of 12% per year [5].…”

Section: Introductionmentioning

confidence: 99%

“…In general terms, the results of these evaluations show the need for technological equipment, such as POCT, to consolidate improvements in these healthcare systems [10]. Specifically, according to [4], the growing demand for this type of analyzer ensures continuous evolution of different aspects, such as: manufacturing, design, cost reduction, portability and reduction of the exposure of personnel to waste, among others. As a consequence, multidisciplinary assessments of technology are increasingly necessary, taking into account the impact on the healthcare institution, benefits, risks and investments [11].…”

Section: Introductionmentioning

confidence: 99%

Multicriterial analysis for the prioritization of technological alternatives for POCT blood gas equipment procurement in a high-complexity healthcare institution

Perilla¹,

Melo²,

Villegas³

et al. 2020

DYNA

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This study proposes a multi-criteria analysis for the prioritization of alternatives for POCT blood gas analysis equipment procurement in a high-complexity healthcare institution through the Analytic Hierarchy Process (AHP). This work is presented as a tool for hospitals and is based on the Health Technology Assessment (HTA) model that supports the decision-making process in the acquisition of medical equipment. For this, criteria, sub-criteria and assessment instruments were identified based on the Core and mini-HTA models, review of scientific articles and healthcare institution requirements for high-complexity healthcare. The proposed approach was applied to the procurement process of POCT equipment in a healthcare institution in the city of Santiago de Cali-Colombia. As a result, the current procurement process was simplified by identifying five criteria and eleven sub-criteria that allowed the prioritization of POCT blood gas analysis equipment alternatives. Furthermore, three criteria with greater relevance were identified in the technological selection process.

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Guía sobre las pruebas de laboratorio en el lugar de asistencia al paciente (POCT)

Cited by 8 publications

References 15 publications

A rapid calprotectin test for the diagnosis of pleural effusion

A rapid calprotectin test for the diagnosis of pleural effusion

Estrategias para la medición y el manejo de la sobreocupación de los servicios de urgencias de adultos en instituciones de alta complejidad con altos volúmenes de consulta. Revisión de la literatura

Multicriterial analysis for the prioritization of technological alternatives for POCT blood gas equipment procurement in a high-complexity healthcare institution

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