Patient outcomes

Research of cardiac markers at the point of care show a decreased length of stay in the ER and significant reductions in test turnaround time

The Randomised Assessment of Treatment using Panel Assay of Cardiac Markers (RATPAC) trial: a randomised controlled trial of point-of-care cardiac markers in the emergency department

A randomised controlled trial of point-of-care cardiac markers in the emergency department showed an increase in successful discharge home and a reduction in median length of stay.

Goodacre S, Bradburn M, Cross E, Collinson P, Gray A, Hall AS on behalf of the RATPAC Research Team. The Randomised Assessment of Treatment using Panel Assay of Cardiac Markers (RATPAC) trial: a randomised controlled trial of point-of-care cardiac markers in the emergency department. Heart 2011; 97,3: 190-96



Point of care troponin decreases time in the emergency department for patients with possible acute coronary syndrome: a randomised controlled trial

POC testing for troponin in the ED tended to reduce the length of stay (LOS) for possible acute coronary syndrome (ACS) patients. The degree of this benefit is likely to be markedly dependent on its acceptance and uptake by attending personnel, and on the ED setting in which it is used.

Loten C, Attia J, Hullick C, Marley J, McElduff, P. Point of care troponin decreases time in the emergency department for patients with possible acute coronary syndrome: a randomised controlled trial. Emergency Medicine Journal 2010; 27, 3:194-98


Decreased patient charges following implementation of point-of-care cardiac troponin monitoring in acute coronary syndrome patients in a community hospital cardiology unit

Study demonstrates the cost effectiveness and clinical effectiveness of implementation of POC whole blood, cTnI testing for assisting clinicians with diagnostic and risk assessment of acute coronary syndrome (ACS) patients. Decreased hospital length of stay of 4 hours was found.

Apple FS, Chung AY, Kogut ME, Bubany S, Muramami, MM. Decreased patient charges following implementation of point-of-care cardiac troponin monitoring in acute coronary syndrome patients in a community hospital cardiology unit.
Clinica Chimica Acta 2006; 370, 1-2: 191-95




Point-of-Care Testing Reduces Length of Stay in Emergency Department Chest Pain Patients

Determines the effect of cardiac Troponin I point-of-care testing on emergency department (ED) length of stay in chest pain patients. Decreased emergency department length of stay of 1.9 hours was found.

Singer AJ, Ardise J, Gulla J, Cangro J. Point-of-Care Testing Reduces Length of Stay in Emergency Department Chest Pain Patients. Annals of Emergency Medicine 2005; 45, 6: 587-91.



Implementation of a point of care satellite laboratory in the emergency department of an academic medical center: impact on test turnaround time and patient length of stay

Emergency department (ED) overcrowding has reached crisis proportions in the United States. Many hospitals are seeking to identify process reengineering efforts to reduce crowding and ED patient length of stay (LOS). This study found a decrease in length of stay of 47 minutes by introducing POCT in the ED.

Lee-Lewandrowski E, Corboy D, Lewandrowski K, Sinclair J, McDermot S, Benzer TI. Implementation of a point of care satellite laboratory in the emergency department of an academic medical center: impact on test turnaround time and patient length of stay. Arch Pathol Lab Med 2003; 127: 456-60